Individual
STEPHANIE MCELROY-LIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
90 BASS PRO DR, PEARL, MS 39208-9242
(601) 939-6442
Mailing address
813 CRESTON DR, BYRAM, MS 39272-3003
(601) 454-4697
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09973
MS
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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