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Contact Information

ETHAN C CASEY, PHARM.D.
4150 GOODMAN RD
HORN LAKE, MS38637-0300
 Phone: 662-253-6181
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for ETHAN C CASEY · (Male)

NPI Number 1063014728
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 11/09/2020
Last updated 11/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MS License # E14919
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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