Kellie W Waldrip, Rph
Pharmacist in Southaven, MS. Individual provider (NPI-1).
NPI number1508108002
StatusActive
Last updated in NPPESOct 15, 2014
Details
- NPI
- 1508108002
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kellie W Waldrip
- Credential
- Rph
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2013
- Last updated
- Oct 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | E08849 | MS | Yes |
Practice location
984 Main StSouthaven, MS 38671-1509
Phone 662-342-1915 · Fax 662-393-0421
Mailing address
984 Main StSouthaven, MS 38671-1509
Phone 662-342-1915 · Fax 662-393-0421
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All 56 Pharmacist providers in Southaven · All 1,578 providers in Southaven
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