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Nikki Red Walters
Pharmacist in Ellisville, Mississippi
NPI 1669636023

Nikki Red Walters is a Pharmacist based in Ellisville, MS. Nikki Red Walters practices in Ellisville, MS. The NPI Number for Nikki Red Walters is 1669636023 and holds a License No. 0013/01.1 (Mississippi).

The current practice location address for Nikki Red Walters is 122 S Front St, Ellisville, MS and can be reached out via phone at 601-477-8587 and via fax at 601-477-3222.

Location: 122 S Front St, Ellisville, MS, 39437-3118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669636023
Provider Name
Nikki Red Walters
Credential
Provider Entity Type
Individual
Gender
Female
Address
122 S Front St, Ellisville, MS, 39437-3118
Phone Number
601-477-8587
Fax Number
601-477-3222
Provider Enumeration Date
07/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00330679 05 MS
institution
Provider Business Practice Location Address Details
Address
122 S Front St
City
Ellisville
State
Mississippi
Zip
39437-3118
Phone Number
601-477-8587
Fax Number
601-477-3222
person
Provider Business Mailing Address Details
Address
122 S Front St
City
Ellisville
State
Mississippi
Zip
39437-3118
Phone Number
601-477-8587
Fax Number
601-477-3222
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
0013/01.1 (Mississippi)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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