Nikki Red Walters

NPI #1669636023 in Ellisville, Mississippi

Provider Information

NPI Number: 1669636023
Entity Type: Individual
Name: Nikki Red Walters
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jul 15, 2008
Last Updated: Jul 15, 2008

Practice Location

Address: 122 S FRONT ST
City: Ellisville
State: Mississippi
ZIP Code: 39437-3118
Phone: (601) 477-8587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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