Whalio Doctors

NPI 1295213056

Stanley Page

Practitioner Pharmacist Tishomingo, MS

Practice location

Address
18 First Ave, Tishomingo, MS 38873-8441
Phone
(662) 438-6605
Fax
(662) 438-6680
Mailing address
PO Box 369, Tishomingo, MS 38873-0369

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence D-06648 (MS)

Registry record

NPI
1295213056
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Aug 2018
Record last updated
3 Aug 2018

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.