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Individual

AUDRA ARMISTEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
122 W COLLEGE ST, BOONEVILLE, MS 38829-3410
(662) 728-5732
(662) 728-5756
Mailing address
122 W COLLEGE ST, BOONEVILLE, MS 38829-3410
(662) 728-5732
(662) 728-5756

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E08527
MS

Other

Enumeration date
11/13/2020
Last updated
11/13/2020
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