Individual
DR. MICHAEL MOLLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9350A HIGHWAY 49, GULFPORT, MS 39503-4213
(228) 865-0505
Mailing address
12792 JACKSON LEE, OCEAN SPRINGS, MS 39564-4411
(228) 249-2932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E16760
MS
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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