Individual
BENNETT PORTER CAPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 E 22ND ST, STUTTGART, AR 72160-9006
(870) 673-1834
Mailing address
406 E 22ND ST, STUTTGART, AR 72160-9006
(870) 673-1834
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11061
AR
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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