NPI 1295299501

Reagan Brown

Practitioner Pharmacist Crystal Springs, MS

Practice location

Address: 113 Bo Bo Dr, Crystal Springs, MS 39059-2741
Phone: (601) 892-4121
Fax: (601) 892-1598
Mailing address: 120 Limestone Cv, Terry, MS 39170-8573

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence E-08321 (MS)

Other Pharmacist providers in Mississippi →

Registry record

NPI: 1295299501
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2019
Record last updated: 31 Jan 2019

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.