Individual
MS. LEIGH ANN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
2026 HIGHWAY 72 E, CORINTH, MS 38834-6709
(662) 287-4066
(662) 287-5783
Mailing address
2026 HIGHWAY 72 E, CORINTH, MS 38834-6709
(662) 287-4066
(662) 287-5783
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-8730
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-8730
PHARMACIST LISC NUMBER
MS
Enumeration date
11/15/2011
Last updated
11/15/2011
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