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Contact Information

CARLEY J PUCKETT, PHARM.D.
109 NORTHSIDE SHOPPING CENTER
KOSCIUSKO, MS39090
 Phone: 662-289-3234
 Fax: 662-289-3030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for CARLEY J PUCKETT · (Female)

NPI # 1295624872
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 06/30/2025
Last updated 06/30/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • MS License # E-101220
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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