VIRGINIA LEO BLACK

VICKSBURG, MS
NPI1093353047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MS  E-05403)
Enumeration Date2019-12-19
Last Update Date2019-12-19
Business Address
Mrs. VIRGINIA LEO BLACK RPh
6010 CASTLE RD
VICKSBURG, MS 39180-9310
Phone number: 601-636-1718
Mailing Address
Mrs. VIRGINIA LEO BLACK RPh
6010 CASTLE RD
VICKSBURG, MS 39180-9310
Phone number: 601-636-1718