Individual
ERIC CRAWFORD MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
128 FORMOSA DR, BRANDON, MS 39047-7911
(601) 919-2730
Mailing address
128 FORMOSA DR, BRANDON, MS 39047-7911
(601) 919-2730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09470
MS
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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