Individual
MISS MOLLIE MCGINNIS KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
204 HIGHWAY 80 E, CLINTON, MS 39056-4716
(601) 926-1179
(601) 926-1234
Mailing address
302 COLONY RIDGE CT, RIDGELAND, MS 39157-2019
(601) 926-1179
(601) 926-1234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-11936
MS
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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