Individual
KAYLA LEE MONSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1415 24TH AVENUE, MERIDIAN, MS 39301
(601) 693-5302
Mailing address
1415 24TH AVENUE, MERIDIAN, MS 39301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-16610
MS
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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