IndividualActive
Kelly Bullock
NPI 1790620748 · Pharmacist · Ripley, MS
Provider details
- NPI number
- 1790620748
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- E09562 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1010 City Ave N
Ripley, MS 38663-1413
Phone: (662) 837-7664
Fax: (662) 837-3336
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 415
Ripley, MS 38663-0415
Registry dates
- Enumerated
- 2026-04-23
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.