Individual
AMANDA R HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 HIGHWAY 15 N, LAUREL, MS 39440-2123
(601) 649-4670
Mailing address
74 COUNTY ROAD 1713, BAY SPRINGS, MS 39422-9450
(601) 670-6831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-11707
MS
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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