Individual
MELISSA M ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6072 U S HIGHWAY 98, HATTIESBURG, MS 39402-8854
(601) 264-3631
(601) 264-0526
Mailing address
173 CASCADE CV, PETAL, MS 39465-5837
(601) 261-8125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-07843
MS
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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