Individual
MR. STACIE TIGRETT JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6958 GOODMAN RD, OLIVE BRANCH, MS 38654
(662) 890-5047
Mailing address
4835 DUSTIN PLACE DRIVE, SOUTHAVEN, MS 38671
(662) 349-2005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E8346
MS
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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