Individual
TIAWANA WARE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3445 TERRY RD, JACKSON, MS 39212-4956
(601) 372-8750
(601) 372-3833
Mailing address
3445 TERRY RD, JACKSON, MS 39212-4956
(601) 372-8750
(601) 372-3833
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
E-010608
MS
Other
Enumeration date
12/06/2011
Last updated
12/22/2017
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