Individual
JONMICHAEL DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2132 LAKE WASHINGTON RD E, HOLLANDALE, MS 38748-9717
(337) 781-8108
Mailing address
2132 LAKE WASHINGTON RD E, HOLLANDALE, MS 38748-9717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-12635
MS
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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