IndividualActive
Amy Green
NPI 1003191651 · Pharmacist · Jackson, MS
Provider details
- NPI number
- 1003191651
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 09898 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1497 Canton Mart Rd
Jackson, MS 39211-5435
Phone: (601) 956-2421
Fax: (601) 978-3929
Approximate (ZIP-level) locationGet directions
Mailing address
1497 Canton Mart Rd
Jackson, MS 39211-5435
Registry dates
- Enumerated
- 2011-10-14
- Last updated
- 2011-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.