Individual
MR. JIMMY R POE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
124 E BAKER ST, INDIANOLA, MS 38751-2451
(662) 887-4533
(662) 887-4572
Mailing address
1204 HUMMING BIRD DR, INDIANOLA, MS 38751-2623
(662) 887-4533
(662) 887-4572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E5898
MS
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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