# PAMELA B LEDBETTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** vanjon's pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760664619
- **Authorized official:** MRS. PAMELA B LEDBETTER PHARMIST (OWNER)
- **Authorized official phone:** (662) 746-3565

## Contact information

- **Practice address:** 320 E FIFTEENTH ST, YAZOO CITY, MS 39194-2632
- **Practice address phone:** (662) 746-3562
- **Practice address fax:** (662) 746-3568
- **Mailing address:** 320 E FIFTEENTH ST, YAZOO CITY, MS 39194-2632
- **Mailing address phone:** (662) 746-3562
- **Mailing address fax:** (662) 746-3568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 05253364 | — | MS |