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Contact Information

AMY W BASS, PHARM.D.
2996 CHURCH RD E
SOUTHAVEN, MS38671-9825
 Phone: 662-349-4418
 Fax: 662-349-6689
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for AMY W BASS · (Female)

NPI Number 1932499126
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 04/09/2011
Last updated 04/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MS License # E-010132
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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