Individual
KELLY REID CUMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
V.A. MEDICAL CENTER PHARMACY (119A), 1500 E. WOODROW WILSON AVE., JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1578
Mailing address
V.A. MEDICAL CENTER PHARMACY (119A), 1500 E. WOODROW WILSON AVE., JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-7215
MS
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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