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1760084891
ALEX FAN
MERIDIAN, MS
NPI
1760084891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MS E-16629)
Enumeration Date
2020-11-13
Last Update Date
2020-11-13
Business Address
ALEX FAN Pharm. D
3310 MS-39
MERIDIAN, MS 39301
Phone number: 601-286-6859
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Mailing Address
ALEX FAN Pharm. D
200 N HILLS ST APT 12D
MERIDIAN, MS 39305-2232
Phone number: 601-447-2941
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