Individual
HAROLD OTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
429 WILLIAMS RD, EL DORADO, AR 71730-9033
(870) 310-0098
Mailing address
429 WILLIAMS RD, EL DORADO, AR 71730-9033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15945
LA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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