Tiffany Medlock

Pharmacist · Amory, MS

Individual Active NPI

NPI number 1245832872

Practice location

1515 Highway 278 E
Amory, MS 38821-5909
Phone
(662) 256-1590

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NPI record

NPI
1245832872
Entity type
Individual (Type 1)
Enumeration date
November 9, 2020
Last updated
November 9, 2020
Certified
November 9, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X T-15890 MS
Pharmacist 183500000X RPH028123 GA
Pharmacist 183500000X PS59609 FL

Mailing address

200 Sawgrass Rd
Starkville, MS 39759-7696
Phone
(912) 414-0736

About Tiffany Medlock

Tiffany Medlock is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1515 Highway 278 E, Amory, MS 38821-5909. The NPI number 1245832872 was assigned on November 9, 2020 and the record was last updated on November 9, 2020.

Tiffany Medlock lists 3 licenses in the registry: #T-15890 (MS) for Pharmacist; #RPH028123 (GA) for Pharmacist; #PS59609 (FL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tiffany Medlock?

The NPI number is 1245832872.

What is the phone number of Tiffany Medlock?

The phone number listed for the practice location is (662) 256-1590.

Where is Tiffany Medlock located?

1515 Highway 278 E, Amory, MS 38821-5909.

What is the taxonomy code for Tiffany Medlock?

The primary taxonomy code is 183500000X – Pharmacist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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