Individual
CANDACE MACHELLE DEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5901 U S HIGHWAY 49, HATTIESBURG, MS 39402-2858
(601) 296-9566
Mailing address
705 MISSISSIPPI AVE, PURVIS, MS 39475-4052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100408
MS
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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