Individual
MR. JOE KEITH GUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
312 MARION AVE # B, MCCOMB, MS 39648-2708
(601) 684-4127
(601) 684-2559
Mailing address
312 MARION AVE # B, MCCOMB, MS 39648-2708
(601) 684-4127
(601) 684-2559
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6058
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E06058
STATE LISCENSE
MS
Enumeration date
08/12/2006
Last updated
07/08/2007
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