# JELKS FAMILY PHARMACY, LLC

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

## Provider details

- **NPI number:** 1972159994
- **Authorized official:** ASHLEE JELKS (PHARMACISTS)
- **Authorized official phone:** (225) 719-1987

## Contact information

- **Practice address:** 1404 ACADEMY ST, CENTREVILLE, MS 39631
- **Practice address phone:** (601) 890-6001
- **Practice address fax:** (601) 890-6002
- **Mailing address:** 1016 MAGNOLIA DR, CENTREVILLE, MS 39631-4173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2019
- **Last updated:** 01/22/2020