NPI 1023316163
Alex Ambeau, PHARMD
Practice location
- Address
- 4400 Hardy St, Hattiesburg, MS 39402-1372
- Phone
- (601) 268-9681
Registered specialties
Pharmacist
Primary
Registry record
- NPI
- 1023316163
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Mar 2011
- Record last updated
- 12 Mar 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.