Individual
REAGAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 BO BO DR, CRYSTAL SPRINGS, MS 39059-2741
(601) 892-4121
(601) 892-1598
Mailing address
120 LIMESTONE CV, TERRY, MS 39170-8573
(601) 259-8032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08321
MS
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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