Individual
JAY SCOGGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
407 HILL ST, ELLISVILLE, MS 39437-2523
(601) 477-3030
Mailing address
407 HILL ST, ELLISVILLE, MS 39437-2523
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
E8116
MS
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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