RANDALL LAVELLE CAMP

ELLISVILLE, MS
NPI1154935765
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MS  R-06559)
Enumeration Date2020-09-01
Last Update Date2020-09-01
Business Address
RANDALL LAVELLE CAMP
915 HILL ST
ELLISVILLE, MS 39437-2419
Phone number: 601-477-3573
Mailing Address
RANDALL LAVELLE CAMP
110 TIMBERTON DR
HATTIESBURG, MS 39401-9043
Phone number: 601-408-5568