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Mr. Jerry Matthew Fortenberry
Pharmacist in Columbus, Mississippi
NPI 1952691487

Jerry Matthew Fortenberry is a Pharmacist based in Columbus, MS. Jerry Matthew Fortenberry practices in Columbus, MS. The NPI Number for Jerry Matthew Fortenberry is 1952691487 and holds a License No. E6839 (Mississippi).

The current practice location address for Jerry Matthew Fortenberry is 1800 Highway 45 N, Columbus, MS and can be reached out via phone at 662-327-6138.

Location: 1800 Highway 45 N, Columbus, MS, 39705-2110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952691487
Provider Name
Jerry Matthew Fortenberry
Credential
Provider Entity Type
Individual
Gender
Male
Address
1800 Highway 45 N, Columbus, MS, 39705-2110
Phone Number
662-327-6138
Fax Number
Provider Enumeration Date
04/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 Highway 45 N
City
Columbus
State
Mississippi
Zip
39705-2110
Phone Number
662-327-6138
Fax Number
person
Provider Business Mailing Address Details
Address
1800 Highway 45 N
City
Columbus
State
Mississippi
Zip
39705-2110
Phone Number
662-327-6138
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
E6839 (Mississippi)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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