Nikki R Walters in Ellisville - Community/retail Pharmacy
Nikki R Walters - NPI 1316046402
Nikki R Walters is a Community/retail Pharmacy in Ellisville, Mississippi. Nikki R Walters practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Nikki R Walters is 1316046402. The last update date is 2008-06-16.
Nikki R Walters's current location address is 122 S Front St, Ellisville, Mississippi. You can contact this provider via phone number 6014778587 and fax number 6014773222. The mailing address for Nikki R Walters is 122 S Front St, Ellisville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nikki R Walters |
|---|---|
| Address | 122 S Front St, Ellisville, Mississippi |
| Phone Number | 6014778587 |
| Fax Number | 6014773222 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Walters Red Nikki |
| Telephone Number | 6014778587 |
NPI Number Detail
| NPI Number | 1316046402 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 122 S Front St |
|---|---|
| City | Ellisville |
| State | Mississippi (MS) |
| Post Code | 394373118 |
| Phone Number | 6014778587 |
| Fax Number | 6014773222 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 13001.1 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 330679 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Nikki R Walters by the Centers for Medicare & Medicaid Services (CMS)?
The Nikki R Walters has been assigned the NPI (National Provider Identifier) 1316046402. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Nikki R Walters is physically located?
The Nikki R Walters is physically situated at the following address: 122 S Front St, Ellisville, MS, 394373118.
What is Nikki R Walters's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nikki R Walters's area of specialization is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0003X.
On what date did the Nikki R Walters receive the assignment of its 1316046402 from the Centers for Medicare & Medicaid Services?
The Nikki R Walters was issued its 1316046402 by the Centers for Medicare & Medicaid Services on 2006-09-22.
As of what date were the Nikki R Walters's details last updated?
The information pertaining to the Nikki R Walters, including its address, specialty, and other details, was most recently updated on 2008-06-16.