Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 PICADILLY DR, BATESVILLE, MS 38606-2132
(662) 671-5647
Mailing address
204 PICADILLY DR, BATESVILLE, MS 38606-2132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14420
MS
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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