Individual
ROBIN FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
8912 NORTHWEST DR, SOUTHAVEN, MS 38671-2414
(662) 393-6300
Mailing address
3818 ROSS RIDGE DR, OLIVE BRANCH, MS 38654-7367
(901) 212-6112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8302
MS
183500000X
Pharmacist
Primary
8646
TN
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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