Individual
LESTER HAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 E NORTHSIDE DR, 315, JACKSON, MS 39211-5503
(601) 366-9431
Mailing address
104 COLONIAL GLN, JACKSON, MS 39211-3304
(601) 956-2275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6288
MS
Other
Enumeration date
09/04/2006
Last updated
07/08/2007
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