Individual
TIMOTHY JOHN BERNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3910 HARDY ST, HATTIESBURG, MS 39402-1500
(601) 264-6300
Mailing address
3910 HARDY ST, HATTIESBURG, MS 39402-1500
(601) 264-6300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20303
AL
183500000X
Pharmacist
Primary
E-11897
MS
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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