Individual
TAWANNA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 U S HIGHWAY 49, HATTIESBURG, MS 39402-2858
(601) 296-6855
Mailing address
5901 U S HIGHWAY 49, HATTIESBURG, MS 39402-2858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-15333
MS
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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