Individual
ADRIENNE L OUTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
605 S JACKSON ST, STARKVILLE, MS 39759-3353
(662) 323-8133
Mailing address
605 S JACKSON ST, STARKVILLE, MS 39759-3353
(662) 323-8133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09868
MS
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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