Individual
MRS. CAMILLE SHOFNER ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-4213
(601) 288-4163
Mailing address
149 SHERLOCK HERRING RD, PURVIS, MS 39475-3145
(601) 466-7930
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E5019
MS
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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