Puckett, Alicia

Puckett, Alicia is an individual health care provider with primary practice located at 118 Davis Ave Ste B , Pass Christian MS 39571-4504. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Puckett, Alicia can be contacted via phone (228) 222-4249.

Contact Information

Primary practice address
118 Davis Ave Ste B Pass Christian MS 39571-4504
Phone: (228) 222-4249
Fax: (601) 969-5381
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 010769 Mississippi

Profile Details

NPI number 1356611198
LBN Legal business name Puckett, Alicia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2012
Last updated Oct 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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