Individual
NICHOLAS LADNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12435 SHRINERS BLVD, BILOXI, MS 39532-8249
(228) 354-9616
Mailing address
12435 SHRINERS BLVD, BILOXI, MS 39532-8249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14622
MS
183500000X
Pharmacist
E-13592
MS
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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