Individual
DR. JOHN WALTER MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3474 PENDULUM DR E, HERNANDO, MS 38632-8395
(901) 603-8155
Mailing address
3474 PENDULUM DR E, HERNANDO, MS 38632-8395
(901) 603-8155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09173
MS
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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