SearchMississippi3336C0003X

Beau Haden, PHARMD

NPI 1497351670 · on the registry since 2020 · sole proprietor

Practice

Address
1109 Hwy 42
Sumrall, MS 39482
Phone
(601) 758-4243
Fax
(601) 758-4243
Organisation at this address
Sumrall Drug Store Llc
Sumrall Drug Store Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
3336C0003X
3336C0003X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-11

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