Individual
MRS. TONYA L ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11312- H HWY 49, GULFPORT, MS 39503
(228) 832-0051
(228) 832-0168
Mailing address
14302 CREEKWOOD COVE, GULFPORT, MS 39503
(228) 539-3973
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08632
MS
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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