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Contact Information

SAMANTHA COPPOLA
3341 HALLS FERRY RD
VICKSBURG, MS39180-5338
 Phone: 601-661-9340
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for SAMANTHA COPPOLA · (Female)

NPI Number 1134894660
Status Active
Credentials
Entity Individual
Enumeration date 08/16/2021
Last updated 08/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MS License # E-100344
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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