Individual
AMANDA YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
248 SUNDANCE CIR, RICHLAND, MS 39218-9249
(601) 665-5970
Mailing address
248 SUNDANCE CIR, RICHLAND, MS 39218-9249
(601) 665-5970
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-09032
MS
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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