Thirston Ivory Divinity
NPI #1538771894 in Clinton, Mississippi
Provider Information
- NPI Number
- 1538771894
- Entity Type
- Individual
- Name
- Thirston Ivory Divinity
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 18, 2020
- Last Updated
- Aug 18, 2020
Practice Location
- Address
- 204 HIGHWAY 80 E
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-4716
- Phone
- (601) 926-1116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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