IndividualActive
Amanda Mboumien
NPI 1598119166 · Pharmacist · Rocky Mount, NC
Provider details
- NPI number
- 1598119166
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 24120 (NC)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1511 Benvenue Rd
Rocky Mount, NC 27804-6383
Phone: (252) 985-2753
Approximate (ZIP-level) locationGet directions
Mailing address
1511 Benvenue Rd
Rocky Mount, NC 27804-6383
Registry dates
- Enumerated
- 2016-04-20
- Last updated
- 2016-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.