Waldrip, Kelly Todd
Waldrip, Kelly Todd is an sole proprietor health care provider with primary practice located at 3926 Goodman Rd W , Horn Lake MS 38637-1324. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Waldrip, Kelly Todd can be contacted via phone (662) 393-7868.Contact Information
Primary practice address
3926 Goodman Rd W
Horn Lake MS 38637-1324
Phone: (662) 393-7868
Fax: (662) 393-1076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | E-08238 | Mississippi |
Profile Details
| NPI number | 1619508322 |
|---|---|
| LBN Legal business name | Waldrip, Kelly Todd |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2020 |
| Last updated | Jan 31st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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