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Douglas Gardner, RPH
NPI 1356637524 · on the registry since 2011 · sole proprietor
Practice
- Address
- 465 Stateline Rd W
Southaven, MS 38671 - Phone
- (662) 393-3426
- Fax
- (662) 393-1605
- Organisation at this address
- Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi