Individual
MARY M TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
322 STEWART DR, LOUISVILLE, MS 39339-9481
(662) 803-0087
(662) 773-9951
Mailing address
322 STEWART DR, LOUISVILLE, MS 39339-9481
(662) 803-0087
(662) 773-9951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E06973
MS
Other
Enumeration date
07/09/2016
Last updated
11/30/2020
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