Individual
OLIVIA RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 E EIGHTEENTH ST, YAZOO CITY, MS 39194-2344
(662) 260-0059
Mailing address
521 E EIGHTEENTH ST, YAZOO CITY, MS 39194-2344
(662) 260-0059
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT-223913
MS
183700000X
Pharmacy Technician
—
MS
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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