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Jacenta Matthews, PHARMD
NPI 1245706803 · on the registry since 2018
Practice
- Address
- 1435 N Frontage Rd
Vicksburg, MS 39180 - Phone
- (601) 661-9652
- Organisation at this address
- Mississippi Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Also registered as
- Pharmacist
- Licence states on file
- MS, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi