Individual
DR. JUSTIN MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
4150 GOODMAN RD, HORN LAKE, MS 38637-0300
(662) 253-6181
Mailing address
2613 CHERRY TREE DR, SOUTHAVEN, MS 38672-8015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-13912
MS
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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