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Individual

DR. BEN MCMANUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
902 S GLOSTER ST, TUPELO, MS 38801-6312
(662) 844-1318
Mailing address
902 S GLOSTER ST, TUPELO, MS 38801-6312
(662) 844-1318

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010113
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00330654
MS
Enumeration date
01/05/2012
Last updated
12/22/2022
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