Individual
CARLEY J PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
109 NORTHSIDE SHOPPING CENTER, KOSCIUSKO, MS 39090
(662) 289-3234
(662) 289-3030
Mailing address
109 NORTHSIDE SHOPPING CENTER, KOSCIUSKO, MS 39090
(662) 289-3234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-101220
MS
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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