Individual
DONNIE JOE SCRIVNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9155 HIGHWAY 19 N, COLLINSVILLE, MS 39325-9330
(601) 626-8338
(601) 626-8082
Mailing address
9155 HIGHWAY 19 N, COLLINSVILLE, MS 39325-9330
(601) 626-8338
(601) 626-8082
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6580
MS
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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