Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY TODD WALDRIP
Active Sole ProprietorKELLY TODD WALDRIP is a Pharmacist Clinician (PhC) healthcare provider located in HORN LAKE, Mississippi. NPI 1619508322 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · HORN LAKE, MS
Registration Details
- NPI Number
- 1619508322
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2020 (6.5287757579961 yrs)
- Last Updated
- Jan 31, 2020
- License
-
E-08238 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3926 GOODMAN RD WHORN LAKE, MS, 386371324Browse MS providers · Browse ZIP 38637
- Phone
- 6623937868
- Fax
- 6623931076
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Other Pharmacist Clinician (PhC) Providers in HORN LAKE, MS
| Name | Credential | NPI |
|---|---|---|
| JAMES JACOB THOMPSON | — | 1215575899 |
| CHRISTEN COLVETT | PHARMD | 1619575495 |
| BREQUIA BOZEMAN | — | 1073230132 |
| BRIANNA HERRON | PHARM. D. | 1336973254 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.