Individual
DR. JESSICA ELLEN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1628 SIMPSON HIGHWAY 49, MAGEE, MS 39111-4294
(601) 849-4959
(601) 849-6645
Mailing address
1628 SIMPSON HIGHWAY 49, MAGEE, MS 39111-4294
(601) 849-4959
(601) 849-6645
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17227
LA
183500000X
Pharmacist
Primary
T10175
MS
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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