Individual
STEPHANIE ANN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2701 ROGERS AVE, FORT SMITH, AR 72901-4225
(479) 783-4782
Mailing address
1949 W LESLIE DR, FAYETTEVILLE, AR 72704-5085
(949) 280-6899
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD16382
AR
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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