Individual
DR. BEAU LANDRY HADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1109 HWY 42, SUMRALL, MS 39482
(601) 758-4243
(601) 758-4243
Mailing address
PO BOX 120, SUMRALL, MS 39482-0120
(601) 758-4243
(601) 758-4999
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
E-09681
MS
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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