Individual
EDWARD LAFAYETTE RICHARDSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
1227 PIN OAK DR APT J08, FLOWOOD, MS 39232-9725
(662) 801-8395
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-101681
MS
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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