Individual
CASSIDY LANE BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5780 TERRY RD, BYRAM, MS 39272-9745
(601) 346-2553
Mailing address
129 PINEHURST DR, BRANDON, MS 39047-8227
(662) 231-1430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100365
MS
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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