Individual
PATRICIA DENISE LAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1913 HIGHWAY 45 N, COLUMBUS, MS 39705-1950
(662) 329-1766
(662) 327-0236
Mailing address
493 RENON LN, CALEDONIA, MS 39740-8689
(662) 547-9432
(662) 327-0236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E7523
MS
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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