Individual
KADE JAXON JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
747 HIGHWAY 1 S, GREENVILLE, MS 38701-5958
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-102036
MS
183700000X
Pharmacy Technician
—
—
Other
Enumeration date
07/13/2021
Last updated
07/22/2025
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