Individual
JOSHUA MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
107 HIGHWAY 80 E, CLINTON, MS 39056-4738
(601) 925-6343
(601) 925-6344
Mailing address
107 HIGHWAY 80 E, CLINTON, MS 39056-4738
(601) 925-6343
(601) 925-6344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E16036
MS
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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