ALLEN ELLIOTT LANE

MOSS POINT, MS
NPI1801488846
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1835P2201X Pharmacist, Ambulatory Care
(Licence: MS  E-07228)
Enumeration Date2021-02-10
Last Update Date2021-02-10
Business Address
ALLEN ELLIOTT LANE RPh.
4931 MAIN ST
MOSS POINT, MS 39563-2746
Phone number: 228-474-4663
Mailing Address
ALLEN ELLIOTT LANE RPh.
PO BOX 8647
MOSS POINT, MS 39562-0010
Phone number:
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