Individual
KELSEY BARNETT MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4028 GOODMAN RD W, HORN LAKE, MS 38637-1325
(662) 393-3477
(662) 393-3214
Mailing address
4028 GOODMAN RD W, HORN LAKE, MS 38637-1325
(662) 393-3477
(662) 393-3214
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-16140
MS
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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