Individual
MRS. PATRICIA M OLIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
801 HIGHWAY 11 S, PICAYUNE, MS 39466-5382
(601) 798-4771
(601) 798-6130
Mailing address
73 WINDANCE DR, CARRIERE, MS 39426-7946
(601) 799-1889
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08981
MS
Other
Enumeration date
11/11/2006
Last updated
07/08/2007
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