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Individual

DALE R RASMUSSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
400 VETERANS AVE, 119 PHARMACY SERVICE, BILOXI, MS 39531-2410
(228) 523-5141
Mailing address
400 VETERANS AVE, 119 PHARMACY SERVICE, BILOXI, MS 39531
(228) 523-5141

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10257
AL

Other

Enumeration date
07/04/2006
Last updated
07/08/2007
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