Individual
AMBER ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 HIGHWAY 12 E, STARKVILLE, MS 39759-3823
(662) 615-6033
Mailing address
401 HIGHWAY 12 E, STARKVILLE, MS 39759-3823
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E16557
MS
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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