Individual
ANTHONY WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
945 HWY 42, SOUTH PRENTISS SHOPPING CENTER, PRENTISS, MS 39474
(601) 792-4467
Mailing address
1025 FIFTH STREET, P.O. BOX 1804, PRENTISS, MS 39474
(601) 792-4467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-7901
MS
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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