Individual
CARMEN THRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 E WOODROW AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-10533
MS
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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