Individual
WILLIS HOWARD KILPATRICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 656-2211
(601) 663-7927
Mailing address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 656-2211
(601) 663-7927
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E7120
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E7120
LICENSE
MS
Enumeration date
05/21/2007
Last updated
07/08/2007
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