Individual
JANA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 W MAIN ST, TUPELO, MS 38801-3630
(662) 620-7959
Mailing address
108 CANE CREEK LANE, SALTILLO, MS 38866
(662) 891-2757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E101282
MS
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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