Individual
KELLIE CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
92 RATLIFF ST, LUCEDALE, MS 39452-6537
(601) 673-6383
(601) 673-6384
Mailing address
92 RATLIFF ST, LUCEDALE, MS 39452-6537
(601) 673-6383
(601) 673-6384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-09643
MS
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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