Individual
ROGER BEARDAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
603 MIDDLETON RD, WINONA, MS 38967
(662) 283-1393
Mailing address
46 BETHLEHEM COMMUNITY RD, WINONA, MS 38967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6349
MS
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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