Individual
MATTHEW THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2252 N 8TH ST, ROGERS, AR 72756-2842
(479) 621-9188
Mailing address
2252 N 8TH ST, ROGERS, AR 72756-2842
(479) 621-9188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13220
AR
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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