DEWELL JACKSON

Pharmacist

Active Individual
NPI: 1700135977

Practice Address

5093 HARDY ST
Hattiesburg, MS 39401

Phone: (601) 579-7465

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes P012606 (MS)

Frequently Asked Questions

NPI 1700135977 is the National Provider Identifier for DEWELL JACKSON, a Pharmacist provider located in Hattiesburg, MS. This NPI was enumerated on September 4, 2012.
DEWELL JACKSON practices at 5093 HARDY ST, Hattiesburg, MS 39401.

Quick Facts

NPI
1700135977
Type
Individual
Enumerated
Sep 4, 2012
Last Updated
Sep 4, 2012

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