Individual
TAYLOR ODOM MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
Mailing address
5112 FERN ST, PASCAGOULA, MS 39567-1006
(228) 627-8898
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-100168
MS
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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