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TASHA F HADEN PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1629664586

Individual Registrant:
 TASHA F HADEN PHARMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
50 WAGON TRL  SUMRALL, MS 39482-5071 US
Tel: 601-408-6510  Fax: 601-758-4999

Contact information for business:
PO BOX 120  SUMRALL, MS 39482-0120 US
Tel: 601-758-4243  Fax: 601-758-4999

Registration Information:
NPI: 1629664586
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
MSE-09820

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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