Individual
DR. S. PHILLIP CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D. ; R.PH.
Contact information
Practice address
2801 W MAIN ST, TUPELO, MS 38801-3001
(662) 840-6411
(662) 840-4598
Mailing address
2801 W MAIN ST, TUPELO, MS 38801-3001
(662) 840-6411
(662) 840-4598
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
E-7450
MS
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
34541
TN
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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