Mr. Jerry Matthew Fortenberry
Mr. Jerry Matthew Fortenberry is a Pharmacist in Columbus, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2011
Practice location Address checks out
1800 Highway 45 NColumbus, MS 39705-2110
Phone: (662) 327-6138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence E6839 (MS) |
|---|
Record details
| NPI number | 1952691487 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2011 |
| Last updated in NPPES | April 18, 2011 |
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