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NPI 1760096895

IndividualActive

Amanda Brock, PHARMD

NPI 1760096895 · Pharmacist · Booneville, MS

Provider details

NPI number: 1760096895
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Female
Sole proprietor: No
License: E-16776 (MS)

Practice location

100 S Second St

Booneville, MS 38829-3225

Phone: (662) 728-5322

Fax: (662) 728-3187

More MS providers

Mailing address

100 S Second St

Booneville, MS 38829-3225

Registry dates

Enumerated: 2020-09-05
Last updated: 2025-12-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amanda Brock, PHARMD — NPI 1760096895, Booneville, MS | NPI Central