Individual
MARY JEANETTE SCRUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1011 GOODMAN RD, SOUTHAVEN, MS 38671
(662) 349-6787
Mailing address
1011 GOODMAN RD, SOUTHAVEN, MS 38671
(662) 349-6787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T09649
MS
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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