Individual
DR. JENNIFER LEAKE KASSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
231 EASTSIDE DR, NEWTON, MS 39345-8035
(601) 683-6117
(601) 683-3640
Mailing address
118 W BRIDGE ST, ENTERPRISE, MS 39330-9271
(601) 616-5047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2000174381
MO
183500000X
Pharmacist
21553
AL
183500000X
Pharmacist
Primary
T-09906
MS
Other
Enumeration date
03/29/2007
Last updated
11/01/2023
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