Individual
MR. GEORGE OTTO MERRILL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
200 MARKET PL, RICHLAND, MS 39218-4429
(601) 939-2958
(601) 939-4489
Mailing address
640 WENDOVER WAY, RIDGELAND, MS 39157-4193
(601) 668-6055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08224
MS
Other
Enumeration date
10/28/2020
Last updated
11/03/2020
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