Individual
MR. TOMMY EUGENE VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
410 E WALNUT ST, RIPLEY, MS 38663-2112
(662) 837-7177
(662) 837-7719
Mailing address
138 ROAD 1200, TUPELO, MS 38801-7919
(662) 844-2979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T09886
MS
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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