Individual
DEONTE R POWELL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1778 HIGHWAY 1 S, GREENVILLE, MS 38701-7801
(601) 218-1544
(662) 332-0232
Mailing address
130 VILLAGE DR, VICKSBURG, MS 39183-2320
(601) 218-1544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14095
MS
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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