Individual
DR. JAMES BOUTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
264 RALPH RAWLS RD, HATTIESBURG, MS 39402-8356
(601) 606-2662
Mailing address
264 RALPH RAWLS RD, HATTIESBURG, MS 39402-8356
(601) 606-2662
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
E06534
MS
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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