Carlee Ryann Piatt

Individual provider Active NPI Pharmacy Technician · Jackson, MS

NPI 1629640214 · NPPES record last updated Jul 13, 2021

Key facts

NPI
1629640214
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 915-7996
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X Yes

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

309 Eagles Point Dr
Oxford, MS 38655-5993
Phone (662) 617-9705

Other providers in Jackson, MS

All providers in Jackson, MS · Pharmacy Technician in Mississippi

Sources for this page

Verify at the official NPI Registry.