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DR. NATHAN ROBERT ALEXANDER ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2996 CHURCH RD E, SOUTHAVEN, MS 38671-9825
(662) 349-4418
Mailing address
9129 LAKESHORE DR, OLIVE BRANCH, MS 38654-1532
(662) 671-9551

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100286
MS

Other

Enumeration date
07/30/2021
Last updated
07/30/2021
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