Individual
DESIREA QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2405 PASS RD, BILOXI, MS 39531-2111
(228) 388-3458
Mailing address
6805 ORIOLE DR, BILOXI, MS 39532-9766
(228) 209-2597
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14455
MS
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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