Individual
AMANDA RASBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PHARMD
Contact information
Practice address
190 LONGVIEW DR, LAUREL, MS 39443-9163
(601) 323-0991
Mailing address
190 LONGVIEW DR, LAUREL, MS 39443-9163
(601) 323-0991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010106
MS
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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