Individual
DONNA DELYNN FRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1733 2ND ST S, MERIDIAN, MS 39301-4514
(601) 485-2218
Mailing address
16 LE 163815, PACHUTA, MS 39347-5179
(601) 323-9192
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E8092
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E8092
REGISTERED PHARMACY
MS
Enumeration date
10/29/2020
Last updated
10/29/2020
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