Individual
DR. AMANDA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 S SECOND ST, BOONEVILLE, MS 38829-3225
(662) 728-5322
(662) 728-3187
Mailing address
100 S SECOND ST, BOONEVILLE, MS 38829-3225
(662) 728-5322
(662) 728-3187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-16776
MS
Other
Enumeration date
09/05/2020
Last updated
12/01/2025
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