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Individual

MRS. ASHLEY GREENWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2205 14TH ST, MERIDIAN, MS 39301-4043
(601) 693-1978
(601) 693-4417
Mailing address
2205 14TH ST, MERIDIAN, MS 39301-4043
(601) 693-1978
(601) 693-4417

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-7366
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E-7366
MS STATE BOARD OF PHARMACY
Enumeration date
11/07/2016
Last updated
11/07/2016
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