Individual
JULIA C TENNIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1883 HIGHWAY 43 S, SUITE A, CANTON, MS 39046-8405
(601) 407-1440
(601) 407-1441
Mailing address
1883 HWY 43 SOUTH, SUITE A, CANTON, MS 39046
(601) 407-1440
(601) 407-1441
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E7245
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E7245
PHARMACY LICENSE NUMBER
MS
Enumeration date
03/14/2006
Last updated
07/08/2007
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