Individual
DOMONIQUE DESHEA WADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
998 SHADY GROVE RD STE 1H, HOT SPRINGS, AR 71901-8094
(501) 262-5400
(501) 262-5404
Mailing address
208 LACROSSE ST, HOT SPRINGS, AR 71913-9553
(501) 655-2933
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15023
AR
Other
Enumeration date
07/09/2020
Last updated
07/10/2020
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