Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerry Wayne Owen, RPH

Individual provider Pharmacist · NPI 1720688211

Jerry Wayne Owen, RPH is a Pharmacist in Hazlehurst, Mississippi. Licensed in Mississippi. Registered with an NPI since 2020.

Licensed in
MS
In the registry since
2020
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

527 Lake St
Hazlehurst, MS 39083-2217
Phone: (601) 894-1476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence E7659 (MS)

Record details

NPI number1720688211
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedOctober 26, 2020
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020
Mailing address560 White Oak Rd, Florence, MS 39073-4022

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