Individual
JERRY MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1000
Mailing address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-3066
(601) 960-3319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-06981
MS
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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