IndividualActive
Amanda Wilson, RPH
NPI 1962055053 · Pharmacist · Crystal Springs, MS
Provider details
- NPI number
- 1962055053
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- License
- T-08901 (MS)
Mailing address
1009 Kern Ln
Crystal Springs, MS 39059-8765
Registry dates
- Enumerated
- 2019-07-18
- Last updated
- 2019-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.