LARRY CARLTON JENKINS

STRINGER, MS
NPI1285669150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: MS  05068/11.1)
Additional Taxonomies3336S0011X Pharmacy, Specialty Pharmacy
(Licence: MS  05321/02.5)
Enumeration Date2006-07-11
Last Update Date2008-03-28
Business Address
-- LARRY CARLTON JENKINS
912 HIGHWAY 15
STRINGER, MS 39481-4230
Phone number: 601-649-4418
Mailing Address
-- LARRY CARLTON JENKINS
912 HIGHWAY 15 PO BOX 128
STRINGER, MS 39481-0128
Phone number: 601-649-4418