MANSOUR SHABAZZ

JACKSON, MS
NPI1508528159
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MS  T-15998)
Enumeration Date2021-10-12
Last Update Date2021-10-12
Business Address
MANSOUR SHABAZZ PharmD
977 ELLIS AVE
JACKSON, MS 39209-6256
Phone number: 601-944-9965
Mailing Address
MANSOUR SHABAZZ PharmD
977 ELLIS AVE
JACKSON, MS 39209-6256
Phone number: 601-944-9965
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