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Individual

MRS. WHITNEY ALISE MALLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2129 GRAND AVE, YAZOO CITY, MS 39194-2312
(662) 673-4020
(662) 673-4031
Mailing address
106 BLACKBERRY CREEK RD, FLORA, MS 39071-9017
(601) 850-9192

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14552
MS
208U00000X
Clinical Pharmacology Physician
E-14552
MS

Other

Enumeration date
05/03/2020
Last updated
05/03/2020
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