Individual
KIMBERLY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1100 US- 51, MADISON, MS 39110
(601) 853-2088
Mailing address
120 DISTRICT BLVD APT 638, JACKSON, MS 39211-6384
(770) 605-7226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14983
MS
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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