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Individual

MR. RICHARD ALLEN LITTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
122 MAIN ST, RALEIGH, MS 39153
(601) 782-4552
(601) 782-9277
Mailing address
PO BOX 186, RALEIGH, MS 39153-0186
(601) 782-4552
(601) 782-9277

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-5542
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00032816
MS
05
00440107
MS
Enumeration date
10/24/2006
Last updated
07/09/2007
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