Individual
RAYMOND WOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 W GRESHAM ST, INDIANOLA, MS 38751-2048
(662) 887-4582
Mailing address
624 W GRESHAM ST, INDIANOLA, MS 38751-2048
(662) 887-4582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
08427
MS
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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