Individual
MACKIE P GREENLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS PHARMACY
Contact information
Practice address
2266 HIGHWAY 407, KILMICHAEL, MS 39747-9609
(662) 262-7949
Mailing address
2266 HIGHWAY 407, KILMICHAEL, MS 39747-9609
(662) 262-7949
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-06184
MS
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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