Individual
MR. MICHAEL WAYNE BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
14009 VIRGINIA ST, OCEAN SPRINGS, MS 39565-6941
(228) 209-3742
Mailing address
14009 VIRGINIA ST, OCEAN SPRINGS, MS 39565-6941
(228) 209-3742
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T09012
MS
Other
Enumeration date
09/26/2006
Last updated
03/25/2015
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