Individual
JACEY GOSSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1100 BELK BLVD, OXFORD, MS 38655-5242
(662) 934-8403
Mailing address
388 COUNTY ROAD 378, WATER VALLEY, MS 38965-3731
(662) 934-8403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E100832
MS
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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