Individual
DR. RAYMOND LAFAYETTE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1309
Mailing address
611 ALCORN DR, CORINTH, MS 38834-9321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15947
AL
183500000X
Pharmacist
Primary
E-010338
MS
Other
Enumeration date
12/02/2011
Last updated
01/28/2022
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