Individual
MR. MATTHEW B PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1002 W BEACON ST, PHILADELPHIA, MS 39350-3204
(601) 656-5310
Mailing address
15552 HIGHWAY 503, DECATUR, MS 39327-9686
(662) 816-8756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14378
MS
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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