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Individual

ROYCE VANDIVER MILES SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
1010 HIGHWAY 12 W, STARKVILLE, MS 39759-9167
(662) 324-1901
(662) 324-9391
Mailing address
1010 HIGHWAY 12 W, STARKVILLE, MS 39759-9167
(662) 324-1901
(662) 324-9391

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-07552
MS

Other

Enumeration date
10/31/2020
Last updated
10/31/2020
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