Individual
LARRY MELVIN BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
937 S MAIN ST, POPLARVILLE, MS 39470-3111
(601) 795-7955
(601) 795-4571
Mailing address
937 S MAIN ST, POPLARVILLE, MS 39470-3111
(601) 795-7955
(601) 795-4571
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-6149
MS
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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