DOMONIQUE VAN BUREN

JACKSON, MS
NPI1245581255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MS  T-15181)
Additional Taxonomies183500000X Pharmacist
(Licence: LA  PST.020307)
Enumeration Date2012-10-01
Last Update Date2021-03-04
Business Address
DR. DOMONIQUE VAN BUREN PHARM D
805 E RIVER PL
JACKSON, MS 39202-3486
Phone number: 601-500-7660
Mailing Address
DR. DOMONIQUE VAN BUREN PHARM D
805 E RIVER PL
JACKSON, MS 39202-3486
Phone number: 601-500-7660