| Nikki Red Walters, | |
|
122 S Front St, Ellisville, MS 39437-3118 | |
| (601) 477-8587 | |
| (601) 477-3222 |
| Full Name | Nikki Red Walters |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 122 S Front St, Ellisville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669636023 | NPI | - | NPPES |
| 00330679 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 0013/01.1 (Mississippi) | Secondary |
| 183500000X | Pharmacist | E-03592 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nikki Red Walters, 122 S Front St, Ellisville, MS 39437-3118 Ph: (601) 477-8587 | Nikki Red Walters, 122 S Front St, Ellisville, MS 39437-3118 Ph: (601) 477-8587 |
Randall Lavelle Camp, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 915 Hill St, Ellisville, MS 39437 Phone: 601-477-3573 Fax: 601-477-3572 | |
Jay Scoggin, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 407 Hill St, Ellisville, MS 39437 Phone: 601-477-3030 | |
Walton Frank Therrell, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 915 Hill St, Ellisville, MS 39437 Phone: 601-477-3573 | |
Dr. Stacy Therrell Thrash, PHARM,D, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 915 Hill St, Ellisville, MS 39437 Phone: 601-545-2056 Fax: 601-545-3945 | |
Haley Hagan, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 915 Hill St, Ellisville, MS 39437 Phone: 601-477-3573 |