Individual
JOSEPH ODEM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
101 BURNE RUN, MADISON, MS 39110-4005
(661) 889-0739
Mailing address
101 BURNE RUN, MADISON, MS 39110-4005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P08930
MS
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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