Individual
GLORIA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
528 BIRCHWOOD BLVD, PEARL, MS 39208-1001
(601) 750-7413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-16003
MS
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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