JERRY MATTHEW FORTENBERRY

COLUMBUS, MS
NPI1952691487
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MS  E6839)
Enumeration Date2011-04-18
Last Update Date2011-04-18
Business Address
Mr. JERRY MATTHEW FORTENBERRY
1800 HIGHWAY 45 N
COLUMBUS, MS 39705-2110
Phone number: 662-327-6138
Mailing Address
Mr. JERRY MATTHEW FORTENBERRY
1800 HIGHWAY 45 N
COLUMBUS, MS 39705-2110
Phone number: 662-327-6138
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