TERRY L MIX

SOUTHAVEN, MS
NPI1346842523
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MS  6753)
Enumeration Date2020-11-12
Last Update Date2020-11-12
Business Address
Mr. TERRY L MIX DPh
2996 CHURCH RD E
SOUTHAVEN, MS 38671-9825
Phone number: 662-949-4418
Mailing Address
Mr. TERRY L MIX DPh
2996 CHURCH RD E
SOUTHAVEN, MS 38671-9825
Phone number: 662-349-4418