NPI 1003185471

Mollie McGinnis Kidder, PHARMD

Practitioner Pharmacist Clinton, MS

Practice location

Address: 204 Highway 80 E, Clinton, MS 39056-4716
Phone: (601) 926-1179
Fax: (601) 926-1234
Mailing address: 302 Colony Ridge CT, Ridgeland, MS 39157-2019

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence E-11936 (MS)

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Registry record

NPI: 1003185471
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2011
Record last updated: 14 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.