Amy Green

NPI #1003191651 in Jackson, Mississippi

Provider Information

NPI Number: 1003191651
Entity Type: Individual
Name: Amy Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 14, 2011
Last Updated: Oct 14, 2011

Practice Location

Address: 1497 CANTON MART RD
City: Jackson
State: Mississippi
ZIP Code: 39211-5435
Phone: (601) 956-2421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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