Individual
DR. LAURA JO GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
41 S CENTER ST, POTTS CAMP, MS 38659-9531
(662) 333-7782
Mailing address
525 HIGHWAY 30 W, BALDWYN, MS 38824-9051
(662) 365-5534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E09336
MS
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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