Individual
NANCY HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2313 DEMARET DR, GULFPORT, MS 39507-2802
(321) 525-1509
Mailing address
2313 DEMARET DR, GULFPORT, MS 39507-2802
(321) 525-1509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100107
MS
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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