Jerry Mayberry

NPI #1356387443 in Carmi, Illinois

Provider Information

NPI Number
1356387443
Entity Type
Individual
Name
Jerry Mayberry
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jun 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1400 W MAIN ST
City
Carmi
ZIP Code
62821-1387
Phone
(618) 382-4636

Specialties & Taxonomy Codes

Specialty
Pharmacist

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