Individual
WILLIAM BRYCE PRESTAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
441 N FOURTH ST, BALDWYN, MS 38824-1525
(662) 365-8877
(662) 365-8777
Mailing address
441 N FOURTH ST, BALDWYN, MS 38824-1525
(662) 365-8877
(662) 365-8777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-05788
MS
183500000X
Pharmacist
PS 35588
FL
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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