Individual
MEGAN SISTRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 MAIN ST, WOODVILLE, MS 39669-9706
(601) 888-3333
Mailing address
8066 OLD HIGHWAY 24, CENTREVILLE, MS 39631-3874
(318) 658-4902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-101205
MS
183500000X
Pharmacist
PST.024961
LA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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