Individual
JENNIFER ALEXANDER COUGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
220 HIGHWAY 12 W, STARKVILLE, MS 39759-3762
(662) 325-8205
(662) 325-0000
Mailing address
360 HARDY ROAD, MISSISSIPPI STATE, MS 39762
(662) 325-8205
(662) 325-0000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09798
MS
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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