Individual
LAVARSHIA NEWSOME-PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3000 PLAZA DRIVE, TYLERTOWN, MS 39667
(601) 876-2152
Mailing address
3000 PLAZA DRIVE, TYLERTOWN, MS 39667
(601) 876-2152
(601) 876-2122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
E-08988
MS
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
E-08988
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-08988
PHARMACY LICENSE
MS
Enumeration date
08/25/2017
Last updated
08/25/2017
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