# JELKS FAMILY PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jelks Family Pharmacy (LTC)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912741281
- **Authorized official:** ASHLEE JELKS (CO-OWNER/PIC)
- **Authorized official phone:** (601) 890-6001

## Contact information

- **Practice address:** 1404 ACADEMY ST, CENTREVILLE, MS 39631-4188
- **Practice address phone:** (601) 890-6001
- **Practice address fax:** (601) 890-6002
- **Mailing address:** PO BOX 966, CLINTON, LA 70722-0966
- **Mailing address phone:** (601) 890-6001
- **Mailing address fax:** (601) 890-6002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/21/2024
- **Last updated:** 06/21/2024