Individual
WALTER STEPHEN PEARSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH- PHARMACIST
Contact information
Practice address
101 E WASHINGTON ST, HOUSTON, MS 38851-2225
(662) 456-2551
(662) 456-3020
Mailing address
PO BOX 509, HOUSTON, MS 38851-0509
(662) 456-2551
(662) 456-3020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6515
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00034747
—
MS
Enumeration date
10/21/2006
Last updated
07/08/2007
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