Individual
DERRELL DEWAYNE HART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1167 HIGHWAY 49 S, RICHLAND, MS 39218-4409
(601) 664-9370
Mailing address
1167 HIGHWAY 49 S, RICHLAND, MS 39218-4409
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
E-16549
MS
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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