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Individual

DR. WANDA J KEAHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD, MPH

Contact information

Practice address
3029 LILLY ST, JACKSON, MS 39213-7246
(601) 668-8525
Mailing address
PO BOX 4973, JACKSON, MS 39296-4973
(601) 668-8525

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
08417
MS

Other

Enumeration date
05/28/2010
Last updated
06/16/2015
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