Individual
MR. RONNIE LANE POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
118 E PEELER AVE, SHAW, MS 38773
(662) 754-2241
(662) 754-2362
Mailing address
517 ANNE STOKES RD, GREENVILLE, MS 38701-6904
(662) 332-9516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6449
MS
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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