Individual
ALICIA PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 DAVIS AVE STE B, PASS CHRISTIAN, MS 39571-4504
(228) 222-4249
(601) 969-5381
Mailing address
118 DAVIS AVE STE B, PASS CHRISTIAN, MS 39571-4504
(228) 222-4249
(601) 969-5381
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010769
MS
Other
Enumeration date
01/11/2012
Last updated
10/22/2021
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