Individual
JILL MCCALLUM STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
145 E VAN DORN AVE, HOLLY SPRINGS, MS 38635-3025
(662) 252-2321
Mailing address
2663 HIGHWAY 349 S, POTTS CAMP, MS 38659-9267
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000010219
TN
183500000X
Pharmacist
Primary
E-08916
MS
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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