Individual
DR. AMY WOODS BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2996 CHURCH RD E, SOUTHAVEN, MS 38671-9825
(662) 349-4418
(662) 349-6689
Mailing address
7975 COLLEGE RD, OLIVE BRANCH, MS 38654-7211
(662) 380-1674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010132
MS
Other
Enumeration date
04/09/2011
Last updated
04/09/2011
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