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1689274904
BARRY WADE PHILLIPS
PEARL, MS
NPI
1689274904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MS E-09180)
Enumeration Date
2020-10-27
Last Update Date
2020-10-27
Business Address
Mr. BARRY WADE PHILLIPS
5520 HIGHWAY 80 E
PEARL, MS 39208-8926
Phone number: 601-939-4342
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Mailing Address
Mr. BARRY WADE PHILLIPS
350 TRADEWIND CV
BRANDON, MS 39042-8330
Phone number: 601-940-8508
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