Individual
DR. VALYNCIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 MCCORD RD, PONTOTOC, MS 38863-6245
(662) 489-5421
Mailing address
100 MCCORD RD, PONTOTOC, MS 38863-6245
(662) 489-5421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09931
MS
Other
Enumeration date
09/20/2006
Last updated
11/13/2020
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