DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NIKKI RED WALTERS

Active Sole Proprietor

NIKKI RED WALTERS is a Pharmacist healthcare provider located in ELLISVILLE, Mississippi. NPI 1669636023 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · ELLISVILLE, MS

Registration Details

NPI Number
1669636023
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2008 (18.060325360986 yrs)
Last Updated
Jul 15, 2008
Licenses
0013/01.1 (MS)
E-03592 (MS)
Sole Proprietor
Yes

Practice Information

Address
122 S FRONT ST
ELLISVILLE, MS, 394373118
Browse MS providers · Browse ZIP 39437
Phone
6014778587
Fax
6014773222
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in ELLISVILLE, MS

Name Credential NPI
DR. STACY THERRELL THRASH PHARM,D 1609122332
WALTON FRANK THERRELL R.PH. 1376976845
RANDALL LAVELLE CAMP 1154935765
HALEY HAGAN 1821661133
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.