Individual
GINGER LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 WATSON DR, MANTACHIE, MS 38855-8390
(662) 282-4245
(662) 282-4027
Mailing address
67 WATSON DR, MANTACHIE, MS 38855-8390
(662) 282-4245
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E08918
MS
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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