Individual
AMANDA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5520 HIGHWAY 80 E, PEARL, MS 39208-8926
(601) 932-5253
Mailing address
858 ROCK HILL RD, BRAXTON, MS 39044-9641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E09445
MS
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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