Individual
ERIKA COTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
10290 DIBERVILLE BLVD, DIBERVILLE, MS 39540-2536
(228) 271-6753
Mailing address
10290 DIBERVILLE BLVD, DIBERVILLE, MS 39540-2536
(228) 271-6753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-13106
MS
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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