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Individual

MRS. KIMBERLY KAY MERRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
2211 5TH ST N STE B, COLUMBUS, MS 39705-2211
(662) 240-8900
Mailing address
300 FERNBANK RD, STEENS, MS 39766-9664
(662) 327-1742

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-08874
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08507729
MS
Enumeration date
01/29/2007
Last updated
07/08/2007
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