Individual
DR. CATHY JO HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 364-1555
(601) 364-1578
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 364-1555
(601) 364-1578
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
E-07666
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-07666
PHARMACY LICENSE NUMBER
MS
Enumeration date
07/14/2006
Last updated
07/08/2007
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