Individual
MRS. NEELY KELLUM OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2800 WEST MAIN STREET, TUPELO, MS 38801
(662) 840-1022
(662) 840-1059
Mailing address
2800 WEST MAIN STREET, TUPELO, MS 38801
(662) 840-1022
(662) 840-1059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08326
MS
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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