Individual
MARY JEAN SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6887
Mailing address
4701 LAKELAND DR, APT. 18H, FLOWOOD, MS 39232-9506
(256) 520-2491
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-13563
MS
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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