NPI 1093311821

Ketreuna Bingham, PHARMD

Practitioner Pharmacist Carthage, MS

Practice location

Address: 205 Highway 16 W, Carthage, MS 39051-4404
Phone: (601) 451-9507

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence E-16060 (MS)

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Registry record

NPI: 1093311821
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2020
Record last updated: 8 Dec 2020

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.