Individual
CARLETTA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1497 CANTON MART RD, JACKSON, MS 39211-5435
(601) 977-0757
Mailing address
1497 CANTON MART RD, JACKSON, MS 39211-5435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P12627
MS
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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