MR. Barry Wade Phillips

NPI #1689274904 in Pearl, Mississippi

Provider Information

NPI Number: 1689274904
Entity Type: Individual
Name: MR. Barry Wade Phillips
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 27, 2020
Last Updated: Oct 27, 2020

Practice Location

Address: 5520 HIGHWAY 80 E
City: Pearl
State: Mississippi
ZIP Code: 39208-8926
Phone: (601) 939-4342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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