Randall Lavelle Camp

NPI #1154935765 in Ellisville, Mississippi

Provider Information

NPI Number: 1154935765
Entity Type: Individual
Name: Randall Lavelle Camp
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 1, 2020
Last Updated: Sep 1, 2020

Practice Location

Address: 915 HILL ST
City: Ellisville
State: Mississippi
ZIP Code: 39437-2419
Phone: (601) 477-3573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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