Individual
NICHOLAS A. BARHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2711 GREENWAY DR, JACKSON, MS 39204-3304
(601) 922-2876
Mailing address
714 ARBOR RUN, BRANDON, MS 39047-8901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09923
MS
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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