Individual
AMY ELIZABETH LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4233 ROCKY BRANCH RD, SUMRALL, MS 39482-4142
(769) 307-7050
(769) 307-7020
Mailing address
42 1ST EAST ST, SUMRALL, MS 39482-5051
(601) 408-3967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E09576
MS
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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