Individual
MR. SCOTT J SUHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 HIGHWAY 43 N, PICAYUNE, MS 39466-2844
(601) 799-5082
Mailing address
PO BOX 389, PICAYUNE, MS 39466-0389
(228) 255-0021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08334
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-08334
PHARMACY LICENSE
MS
Enumeration date
09/22/2006
Last updated
07/09/2007
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