Individual
JONATHAN R PEEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2500 N STATE ST RM H120, JACKSON, MS 39216-4500
(601) 815-1686
(601) 815-1689
Mailing address
2500 N STATE ST RM H120, JACKSON, MS 39216-4500
(601) 815-1686
(601) 815-1689
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E11713
MS
183500000X
Pharmacist
P16951
AL
Other
Enumeration date
12/09/2011
Last updated
04/01/2016
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