Individual
JANA SPIVEY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
17309 I 30, BENTON, AR 72015-2927
(501) 778-5041
(501) 315-5044
Mailing address
11009 STONEHILL DR, ALEXANDER, AR 72002-5003
(229) 425-9950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14037
AR
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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