Individual
SAMANTHA COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 W MAIN ST, TUPELO, MS 38801-3630
(662) 620-8349
Mailing address
817 W MAIN ST, TUPELO, MS 38801-3630
(662) 620-8349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14388
MS
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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