Individual
MR. THOMAS KEITH GUNTHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
170 HIGHWAY 15 NORTH, PONTOTOC, MS 38863
(662) 489-4721
(662) 489-0335
Mailing address
170 HWY 15 N, PONTOTOC, MS 38863
(662) 489-4721
(662) 489-0335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E7194
MS
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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