Individual
AMY ABERNETHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
960 W MAIN ST, TUPELO, MS 38801-3538
(662) 840-8559
Mailing address
5475 LAKE VILLA DR, TUPELO, MS 38801-5819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E08204
MS
Other
Enumeration date
12/14/2019
Last updated
12/14/2019
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