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1225639248
JOHNNIE L PATTON
RIDGELAND, MS
NPI
1225639248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3336C0003X Pharmacy Community/Retail Pharmacy
(Licence: MS R-4034)
Enumeration Date
2020-11-05
Last Update Date
2020-11-05
Business Address
JOHNNIE L PATTON
815 S WHEATLEY ST
RIDGELAND, MS 39157-5002
Phone number: 601-957-1603
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Mailing Address
JOHNNIE L PATTON
815 S WHEATLEY ST
RIDGELAND, MS 39157-5002
Phone number: 601-209-6513
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