Individual
ALICE DAWN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5185 GETWELL RD, SOUTHAVEN, MS 38671-9691
(662) 349-6385
(662) 932-2099
Mailing address
PO BOX 47, POPE, MS 38658-0047
(662) 349-6385
(662) 932-2099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08558
MS
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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