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CRAIG SIMM
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1316539596
Individual Registrant: CRAIG SIMM
Gender: M
Not Sole Proprietor
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: --
Tel: 769-307-7050 Fax: --
Contact information for business:
PO BOX 707 SUMRALL, MS 39482-0707 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1316539596
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | MS | E-08793 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
