Individual
MR. STANLEY BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 W WASHINGTON ST, HOLLANDALE, MS 38748-3846
(662) 827-5561
(662) 827-5145
Mailing address
100 W WASHINGTON ST, HOLLANDALE, MS 38748-3846
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E06479
MS
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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