Individual
JOSHUA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
41 STONEBROOK PL, JACKSON, TN 38305-3637
(731) 661-0912
Mailing address
6130 U S HIGHWAY 49, HATTIESBURG, MS 39401-7300
(601) 545-6956
(601) 545-6964
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
E-13917
MS
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0000042451
TN
Other
Enumeration date
08/07/2015
Last updated
02/08/2020
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