| Dewitt Divinity, RPH | |
|
1500 E Woodrow Wilson Dr, Jackson, MS 39216-5199 | |
| (601) 364-1555 | |
| (601) 364-1578 |
| Full Name | Dewitt Divinity |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 1500 E Woodrow Wilson Dr, Jackson, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164528477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | T-09554 (Mississippi) | Primary |
| 183500000X | Pharmacist | 39763 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dewitt Divinity, RPH 1500 E Woodrow Wilson Dr, Jackson, MS 39216-5199 Ph: (601) 364-1555 | Dewitt Divinity, RPH 1500 E Woodrow Wilson Dr, Jackson, MS 39216-5199 Ph: (601) 364-1555 |
Amy Green, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1497 Canton Mart Rd, Jackson, MS 39211 Phone: 601-956-2421 Fax: 601-978-3929 | |
Whitney Rowell Gerber, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-364-1352 | |
Ms. Sandra Terry-turner, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 | |
Mr. Glenn D Shaw, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-364-1555 | |
Hanna Kovalenko, PHARM.D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 | |
Mrs. Nenia Powe, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-364-1555 Fax: 601-364-1578 | |
Katherine Duggan, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1497 Canton Mart Rd, Jackson, MS 39211 Phone: 601-978-3929 |