Individual
SAVANNAH BROOKE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2996 CHURCH RD E, SOUTHAVEN, MS 38671-9825
(662) 349-4418
Mailing address
2996 CHURCH RD E, SOUTHAVEN, MS 38671-9825
(662) 349-4418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100243
MS
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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