Individual
KHYATI GANATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3201 HIGHWAY 80 E, PEARL, MS 39208-3502
(601) 939-0834
Mailing address
3201 HIGHWAY 80 E, PEARL, MS 39208-3502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16141
MS
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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