Individual
TROY DONALD DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
218 CALDWELL DR, HAZLEHURST, MS 39083-2712
(601) 894-1222
(601) 894-1522
Mailing address
505 FAIRVIEW CV, JACKSON, MS 39272-9108
(601) 371-8471
(601) 894-1522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E8003
MS
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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