TIFFANY MEDLOCK

AMORY, MS
NPI1245832872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MS  T-15890)
Additional Taxonomies183500000X Pharmacist
(Licence: GA  RPH028123)
183500000X Pharmacist
(Licence: FL  PS59609)
Enumeration Date2020-11-09
Last Update Date2020-11-09
Business Address
TIFFANY MEDLOCK
1515 HIGHWAY 278 E
AMORY, MS 38821-5909
Phone number: 662-256-1590
Mailing Address
TIFFANY MEDLOCK
200 SAWGRASS RD
STARKVILLE, MS 39759-7696
Phone number: 912-414-0736