Individual
ASHLEE JELKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 ACADEMY ST, CENTREVILLE, MS 39631
(601) 890-6001
Mailing address
1404 ACADEMY ST, CENTREVILLE, MS 39631
(601) 890-6001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-11829
MS
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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