Individual
MRS. LAUREN SMYTHE BLOODWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2061
(601) 815-4858
Mailing address
108 VICK DR, MADISON, MS 39110-7699
(601) 497-3049
(601) 984-2751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09349M
MS
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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