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Individual

MRS. JERRI J CONLEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
984 MAIN ST, SOUTHAVEN, MS 38671-1509
(662) 342-1915
(662) 393-0421
Mailing address
984 MAIN ST, SOUTHAVEN, MS 38671-1509
(662) 342-1915
(662) 393-0421

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000023939
TN
183500000X
Pharmacist
Primary
E-08502
MS

Other

Enumeration date
03/31/2011
Last updated
03/31/2011
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