Individual
KRISTEN SELLERS WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12356 HIGHWAY 15 S, LOUISVILLE, MS 39339-3700
(662) 779-0119
(662) 779-0126
Mailing address
10090 SAINT FRANCIS DR, PHILADELPHIA, MS 39350-2151
(601) 575-3283
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-11791
MS
1835P1300X
Psychiatric Pharmacist
E-11791
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-11791
MISSISSIPPI BOARD OF PHARMACY
MS
Enumeration date
09/18/2020
Last updated
09/18/2020
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