Provider Demographics
NPI:1326565417
Name:READY, DAVID WARREN (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:WARREN
Last Name:READY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:DAVID
Other - Middle Name:WARREN
Other - Last Name:READY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:PO BOX 2009
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MS
Mailing Address - Zip Code:39654-2009
Mailing Address - Country:US
Mailing Address - Phone:601-587-2531
Mailing Address - Fax:601-587-2560
Practice Address - Street 1:1509 HWY 84 WEST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MS
Practice Address - Zip Code:39654
Practice Address - Country:US
Practice Address - Phone:601-587-2531
Practice Address - Fax:601-587-2560
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-07786183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist