Organization
JELKS FAMILY PHARMACY, LLC
Active
Other names
Jelks Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEE JELKS (PHARMACISTS)
(225) 719-1987
Entity
Organization
Contact information
Practice address
1404 ACADEMY ST, CENTREVILLE, MS 39631
(601) 890-6001
(601) 890-6002
Mailing address
1016 MAGNOLIA DR, CENTREVILLE, MS 39631-4173
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
01/22/2020
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