Individual
MR. EDWIN WALTER AMELUNG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 E SUNFLOWER RD, CLEVELAND, MS 38732-2732
(662) 843-9800
Mailing address
307 W JEFFERSON AVE, GREENWOOD, MS 38930-3407
(662) 453-6685
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-7374
MS
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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