Tiffany Medlock

NPI #1245832872 in Amory, Mississippi

Provider Information

NPI Number: 1245832872
Entity Type: Individual
Name: Tiffany Medlock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 9, 2020
Last Updated: Nov 9, 2020

Practice Location

Address: 1515 HIGHWAY 278 E
City: Amory
State: Mississippi
ZIP Code: 38821-5909
Phone: (662) 256-1590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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