NIKKI RED WALTERS

ELLISVILLE, MS
NPI1669636023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MS  E-03592)
Additional Taxonomies183500000X Pharmacist
(Licence: MS  0013/01.1)
Enumeration Date2008-07-15
Last Update Date2008-07-15
Business Address
-- NIKKI RED WALTERS
122 S FRONT ST
ELLISVILLE, MS 39437-3118
Phone number: 601-477-8587
Mailing Address
-- NIKKI RED WALTERS
122 S FRONT ST
ELLISVILLE, MS 39437-3118
Phone number: 601-477-8587