Individual
JASON FRITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2711 GREENWAY DR, JACKSON, MS 39204-3304
(601) 922-2876
Mailing address
204 DOMINION CIR, BRANDON, MS 39042-7323
(601) 941-9186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E12604
MS
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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