Individual
JULIE E REVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
702 W MAIN ST, TUPELO, MS 38804-3734
(662) 840-4818
(662) 840-4816
Mailing address
908 HOLLY HILL DR, TUPELO, MS 38801-2362
(865) 660-8753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10119
TN
183500000X
Pharmacist
E-09108
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851375356
PHARMACIST
TN
Enumeration date
11/30/2005
Last updated
12/22/2020
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