Organization
PAMELA B LEDBETTER
Active
Other names
vanjon's pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA B LEDBETTER PHARMIST (OWNER)
(662) 746-3565
Entity
Organization
Contact information
Practice address
320 E FIFTEENTH ST, YAZOO CITY, MS 39194-2632
(662) 746-3562
(662) 746-3568
Mailing address
320 E FIFTEENTH ST, YAZOO CITY, MS 39194-2632
(662) 746-3562
(662) 746-3568
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05253364
—
MS
Enumeration date
12/03/2007
Last updated
06/17/2008
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