Individual
MR. PETER SAMIR ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2301 S LAMAR BLVD, OXFORD, MS 38655-5373
(662) 513-1547
Mailing address
2301 SOUTH LAMAR BLVD, OXFORD, MS 38655
(662) 513-1547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09844
MS
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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