Individual
PEARL EUGENIA WALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
164 TITHELO RD, CANTON, MS 39046-9721
(601) 859-6298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6672
MS
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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