Jennifer Crowley Revere

NPI #1033428578 in Marks, Mississippi

Provider Information

NPI Number
1033428578
Entity Type
Individual
Name
Jennifer Crowley Revere
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Oct 1, 2010
Last Updated
Oct 1, 2010

Practice Location

Address
1039 MARTIN LUTHER KING DR
City
Marks
ZIP Code
38646-1808
Phone
(662) 326-8609

Specialties & Taxonomy Codes

Specialty
Pharmacist

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