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Individual

MRS. MITZI NICHOLS PERKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
320 W 18TH STREET, JENNIE STUART MEDICAL CENTER, HOPKINSVILLE, KY 42240
(270) 887-0166
Mailing address
335 JONAQUIN CIRCLE, HOPKINSVILLE, KY 42240
(270) 885-8430

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8914
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8914
RPH
KY
Enumeration date
10/03/2006
Last updated
07/08/2007
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