Overstreet, Andrea Ewing

Overstreet, Andrea Ewing is an individual health care provider with primary practice located at 10511 Diberville Blvd , Diberville MS 39540-2403. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Overstreet, Andrea Ewing can be contacted via phone (228) 392-3905.

Contact Information

Primary practice address
10511 Diberville Blvd Diberville MS 39540-2403
Phone: (228) 392-3905
Fax: (228) 392-3905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X T09130 Mississippi
Pharmacy Service Providers / Pharmacist 183500000X 12687 Alabama

Profile Details

NPI number 1740389824
LBN Legal business name Overstreet, Andrea Ewing
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740389824 NPPES
Mississippi MEDICAID 0330474

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