Individual
MS. MICHELLE SCOGGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACISTS
Contact information
Practice address
3902 HARDY ST, HATTIESBURG, MS 39402-1541
(601) 422-7813
Mailing address
PO BOX 16586, HATTIESBURG, MS 39404-6586
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08371
MS
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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