Individual
MRS. JESSICA WHITE SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4028 GOODMAN RD W, HORN LAKE, MS 38637-1325
(662) 393-3477
(662) 393-3214
Mailing address
10867 BRENTWAY CV, HERNANDO, MS 38632-9620
(662) 501-0924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-13011
MS
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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