Individual
KATHY BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4208 S PLEASANT CROSSING BLVD, ROGERS, AR 72758-1345
(479) 621-0629
Mailing address
4208 S PLEASANT CROSSING BLVD, ROGERS, AR 72758-1345
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD06479
AR
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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