Alicia Puckett
NPI #1356611198 in Pass Christian, Mississippi
Provider Information
- NPI Number
- 1356611198
- Entity Type
- Individual
- Name
- Alicia Puckett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jan 11, 2012
- Last Updated
- Oct 22, 2021
Practice Location
- Address
- 118 DAVIS AVE STE B
- City
- Pass Christian
- State
- Mississippi
- ZIP Code
- 39571-4504
- Phone
- (228) 222-4249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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