Individual
AMANDA SKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 OLD PASS RD, GULFPORT, MS 39501-2585
(228) 351-9061
Mailing address
4500 OLD PASS RD, GULFPORT, MS 39501-2585
(228) 351-9061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14009
MS
Other
Enumeration date
08/10/2015
Last updated
12/19/2022
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