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CRAIG SIMM

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1316539596

Individual Registrant:
 CRAIG  SIMM 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4233 ROCKY BRANCH RD  SUMRALL, MS 39482-4142 US
Tel: 769-307-7050  Fax: --

Contact information for business:
PO BOX 707  SUMRALL, MS 39482-0707 US
Tel: --  Fax: --

Registration Information:
NPI: 1316539596
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
MSE-08793

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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