Individual
JESSICA LYNN SMYLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
984 MAIN ST, SOUTHAVEN, MS 38671-1509
(662) 342-1915
(662) 393-0421
Mailing address
984 MAIN ST, SOUTHAVEN, MS 38671-1509
(662) 342-1915
(662) 393-0421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13046
MS
183500000X
Pharmacist
Primary
37390
TN
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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