Kenneth Dale Harrelson RPH

NPI 1144239344 - Pharmacist - 183500000X

NPI Details
NPI 1144239344
Gender Male
Enumeration Date 08/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
504 WEST MAIN STREET
STE 1
WEST POINT MS, 39773-2759, US
Phone (662) 494-4748
Fax (662) 494-2565
Business Location
1213 OAK DRIVE
WEST POINT MS, 39773-3929, US
Phone (662) 494-4748
Fax (662) 494-2565
Toxanomy
Taxonomy Code 183500000X
License State Mississippi
License Number E5522
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According to our database, Mr. Kenneth Dale Harrelson RPH NPI is 1144239344, taxonomy code is 183500000X and license number is E5522, license state is located at Mississippi. Kenneth Dale Harrelson RPH physically located at 504 West Main Street, West Point MS, 39773-2759. NPI Number Kenneth Dale Harrelson RPH has the Individual type.

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1144239344 NPI number is provided on an as is basis without warranty of any kind. 1144239344 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Dale Harrelson RPH are for informational purposes only.