Douglas Edward Gardner, RPH
NPI #1356637524 in Southaven, Mississippi
Provider Information
- NPI Number
- 1356637524
- Entity Type
- Individual
- Name
- Douglas Edward Gardner, RPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Jun 25, 2011
- Last Updated
- Jun 25, 2011
Practice Location
- Address
- 465 STATELINE RD W
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-1611
- Phone
- (662) 393-3426
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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