Individual
CLAIRE HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 COMMERCE ST., HERNANDO, MS 38632
(662) 429-3349
Mailing address
3255 SHADY LAKE DR., HERNANDO, MS 38632
(901) 921-9755
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000013044
TN
183500000X
Pharmacist
Primary
E-09705
MS
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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