Individual
RICKY GENE DEWEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12491 ROAD 614, PHILADELPHIA, MS 39350-5668
(601) 389-6567
Mailing address
1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
(601) 781-2310
(601) 781-2310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E 6068
MS
Other
Enumeration date
02/05/2007
Last updated
06/01/2015
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