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Individual

ELLEN M HOPKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
13170
LA
183500000X
Pharmacist
Primary
T8986
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13170
PHARMACY LICENSE
LA
01
T8986
PHARMACY LICENSE
MS
Enumeration date
08/29/2006
Last updated
07/08/2007
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