NPI 1003416223

Deidre Reynolds, PHARMD

Practitioner Pharmacist Hattiesburg, MS

Practice location

Address: 6072 U S Highway 98, Hattiesburg, MS 39402-8854
Phone: (601) 264-3631
Fax: (601) 264-0526

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence E-09848 (MS)

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Registry record

NPI: 1003416223
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Oct 2020
Record last updated: 27 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.