Individual
VICKIE C EDDLEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2380 MOUNT PLEASANT RD, HERNANDO, MS 38632-1909
(901) 496-9347
Mailing address
2775 ANTHONY CV, NESBIT, MS 38651-9200
(901) 496-9347
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
E-09316
MS
Other
Enumeration date
01/17/2012
Last updated
03/11/2020
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