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Individual

MRS. ALISA B SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
100 MAIN ST N, BUDE, MS 39630-7117
(601) 384-2383
(601) 384-1650
Mailing address
PO BOX 129, BUDE, MS 39630-0129
(601) 384-2383
(601) 384-1650

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08383
MS

Other

Enumeration date
07/19/2013
Last updated
03/05/2019
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