Individual
MRS. DIANA BAKER SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
410 E WALNUT ST, (LOCKE DRUG STORE), RIPLEY, MS 38663-2112
(662) 837-7177
(662) 837-7719
Mailing address
180 COUNTY ROAD 533, CORINTH, MS 38834-8119
(662) 462-3049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000007396
TN
183500000X
Pharmacist
Primary
T-07853
MS
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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