Individual
JAMES MYERS FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33674 HW 12, DURANT, MS 39063
(662) 653-3007
(662) 653-3059
Mailing address
1173 NORTH WEST AVENUE, P O BOX 428, DURANT, MS 39063
(662) 653-6120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R-4095
MS
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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