DOUGLAS EDWARD GARDNER

SOUTHAVEN, MS
NPI1356637524
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MS  E-6112)
Enumeration Date2011-06-25
Last Update Date2011-06-25
Business Address
-- DOUGLAS EDWARD GARDNER RPH
465 STATELINE RD W
SOUTHAVEN, MS 38671-1611
Phone number: 662-393-3426
Mailing Address
-- DOUGLAS EDWARD GARDNER RPH
465 STATELINE RD W
SOUTHAVEN, MS 38671-1611
Phone number: 662-393-3426
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