IndividualActive
Fallon Mumford, PHARM.D.
NPI 1265033120 · Pharmacist · Indianola, MS
Provider details
- NPI number
- 1265033120
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- E-010293 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
633 Highway 82 W
Indianola, MS 38751-2078
Phone: (662) 887-3788
Approximate (ZIP-level) locationGet directions
Mailing address
310 Sycamore St
Leland, MS 38756-3314
Registry dates
- Enumerated
- 2020-11-05
- Last updated
- 2020-11-05
- Certified
- 2020-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.