Jesse Ivy Garrett III

NPI 1336232529 - Pharmacist - 183500000X

NPI Details
NPI 1336232529
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1500 EAST WOODROW WILSON DRIVE
JACKSON MS, 39216-9765, US
Phone (601) 364-1555
Fax
Business Location
114 CEDAR CREST DRIVE
CLINTON MS, 39056-9765, US
Phone (601) 924-1500
Fax
Toxanomy
Taxonomy Code 183500000X
License State Mississippi
License Number E6146
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According to our database, Mr. Jesse Ivy Garrett III NPI is 1336232529, taxonomy code is 183500000X and license number is E6146, license state is located at Mississippi. Jesse Ivy Garrett III physically located at 1500 East Woodrow Wilson Drive, Jackson MS, 39216-9765. NPI Number Jesse Ivy Garrett III has the Individual type.

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1336232529 NPI number is provided on an as is basis without warranty of any kind. 1336232529 is maintained by the National Plan & Provider Enumeration System. The contents of Jesse Ivy Garrett III are for informational purposes only.