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Contact Information

SAMUEL CARR
207 KLONDYKE RD
LONG BEACH, MS39560-4640
 Phone: 601-674-0748
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for SAMUEL CARR · (Male)

NPI # 1982577409
Status Active
Credentials
Entity Individual
Enumeration date 09/29/2025
Last updated 09/29/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • MS License # E-100983
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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