Individual
GRETCHEN ELIZABETH SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
127 GRANDVIEW BLVD, MADISON, MS 39110-7595
(601) 605-9615
(601) 605-9678
Mailing address
160 BIENVILLE DR, MADISON, MS 39110-7074
(601) 605-9615
(601) 605-9678
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08785
MS
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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