Individual
MR. RONALD A. HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
117 SOUTH 11TH AVENUE, LAUREL, MS 39440-4312
(601) 425-3033
(601) 422-0291
Mailing address
P.O. BOX 4361, LAUREL, MS 39441-4361
(601) 425-3033
(601) 422-0291
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07318
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030565
—
MS
Enumeration date
06/27/2005
Last updated
09/28/2015
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