Individual
MR. JOHN ARISTIDE BIENVENU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
950 E COMMERCE ST, HERNANDO, MS 38632-2433
(662) 429-3349
(662) 429-5835
Mailing address
2850 OAK GROVE CV, HERNANDO, MS 38632-8694
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13216
TN
183500000X
Pharmacist
Primary
E09685
MS
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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