Individual
MARY LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
105 KEITH LOTT RD, POPLARVILLE, MS 39470-7462
(601) 916-7158
Mailing address
105 KEITH LOTT RD, POPLARVILLE, MS 39470-7462
(601) 916-7158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17700
LA
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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