Individual
MRS. MALLORY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6745 S SIWELL RD, BYRAM, MS 39272-8747
(601) 863-2006
Mailing address
6745 S SIWELL RD, BYRAM, MS 39272-8747
(601) 863-2006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14921
MS
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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