JERRY WAYNE OWEN

HAZLEHURST, MS
NPI1720688211
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MS  e7659)
Enumeration Date2020-10-26
Last Update Date2020-10-26
Business Address
JERRY WAYNE OWEN rph
527 LAKE ST
HAZLEHURST, MS 39083-2217
Phone number: 601-894-1476
Mailing Address
JERRY WAYNE OWEN rph
560 WHITE OAK RD
FLORENCE, MS 39073-4022
Phone number: 601-201-8526