Individual
DR. MADELINE WOLTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
1649 E NORTHSIDE DR, JACKSON, MS 39211-6025
(901) 288-7623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-16547
MS
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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