Individual
ALEX GATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
834 BARNES CROSSING RD, TUPELO, MS 38804-0909
(662) 840-8462
Mailing address
3901 NITA LAKE RD, FULTON, MS 38843-7124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IE-16139
MS
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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