Individual
SAMANTHA ODEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
19640 HIGHWAY 67, BILOXI, MS 39532-8666
(228) 702-1785
Mailing address
12011 THREE RIVERS RD, GULFPORT, MS 39503-2932
(228) 313-0430
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
E-13565
MS
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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