Individual
PATRICK O'BRIANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 GOODMAN RD W, HORN LAKE, MS 38637-1172
(662) 393-2656
Mailing address
3100 GOODMAN RD W, HORN LAKE, MS 38637-1172
(662) 393-2656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010192
MS
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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