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Contact Information

AMANDA BROCK, PHARM.D.
100 S SECOND ST
BOONEVILLE, MS38829-3225
 Phone: 662-728-5322
 Fax: 662-728-3187
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for AMANDA BROCK · (Female)

NPI Number 1760096895
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 09/05/2020
Last updated 12/01/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • MS License # E-16776
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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