William Kelly Boutwell, RPH Valid NPI
Individual provider · Pharmacist · Brookhaven, MS
- NPI
- 1336703362
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- E08687 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-04-25
- Last updated
- 2019-04-25
Practice location
428 Highway 51 N
Brookhaven, MS 39601-2351
(601) 833-7455