Nikki R Walters
NPI #1316046402 in Ellisville, Mississippi
Provider Information
- NPI Number
- 1316046402
- Entity Type
- Organization
- Organization Name
- Nikki R Walters
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Jun 16, 2008
Practice Location
- Address
- 122 S FRONT ST
- City
- Ellisville
- State
- Mississippi
- ZIP Code
- 39437-3118
- Phone
- (601) 477-8587
Authorized Official
- Name
- MRS. NIKKI RED WALTERS
- Title
- OWNER
- Phone
- (601) 477-8587
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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