Individual
JORDYN MITCHELL HOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 HIGHLAND PKWY, PICAYUNE, MS 39466-5574
(601) 358-9697
Mailing address
25968 HIGHWAY 43, PICAYUNE, MS 39466-7591
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100204
MS
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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