SearchMississippiPharmacist

Kyle Mauldin

NPI 1396888913 · on the registry since 2007 · sole proprietor

Practice

Address
216 S 13th Ave
Laurel, MS 39440
Phone
(601) 428-7257
Fax
(601) 428-0074
Organisation at this address
Thirteenth Avenue Pharmacy
Thirteenth Avenue Pharmacy
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Pharmacist
183500000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi