Kelly Hackworth, PHARMD

NPI #1588949317 in Minden, Louisiana

Provider Information

NPI Number: 1588949317
Entity Type: Individual
Name: Kelly Hackworth, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 12, 2011
Last Updated: Oct 12, 2011

Practice Location

Address: 606 HOMER ROAD
City: Minden
State: Louisiana
ZIP Code: 71055
Phone: (318) 377-0131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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