Provider Demographics
NPI:1225327588
Name:LAWS, KIMBERLY NICOLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:NICOLE
Last Name:LAWS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3326 FRONT ST STE D
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:LA
Mailing Address - Zip Code:71295-6406
Mailing Address - Country:US
Mailing Address - Phone:601-636-0598
Mailing Address - Fax:601-636-3378
Practice Address - Street 1:3326 FRONT ST STE D
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:LA
Practice Address - Zip Code:71295-6406
Practice Address - Country:US
Practice Address - Phone:318-435-9681
Practice Address - Fax:800-745-7269
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-010502183500000X
LA18538183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist