Individual
VICTORIA ELLIS HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
834 BARNES CROSSING RD, TUPELO, MS 38804-0909
(662) 840-8462
Mailing address
178 COUNTY ROAD 157, OKOLONA, MS 38860-8209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-16066
MS
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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