NPI 1114679818

Tracy Jue, PHARMD

Practitioner Pharmacist Madison, MS

Practice location

Address: 257 Gradview Boulevard, Madison, MS 39110
Phone: (601) 977-0948

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence E-010820 (MS)

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Registry record

NPI: 1114679818
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2022
Record last updated: 24 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.