Individual
DESTINY GARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
801 HIGHWAY 80 E, CLINTON, MS 39056-5252
(601) 924-2111
Mailing address
801 HIGHWAY 80 E, CLINTON, MS 39056-5252
(601) 924-2111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100312
MS
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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