Individual
DR. ALEX AMBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4400 HARDY ST, HATTIESBURG, MS 39402-1372
(601) 268-9681
Mailing address
4400 HARDY ST, HATTIESBURG, MS 39402-1372
(601) 268-9681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010452
MS
Other
Enumeration date
03/12/2011
Last updated
03/12/2011
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