Individual
FARRAH NICOLE TUCKER JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHWAY 71 N, MENA, AR 71953-4392
(479) 394-3897
Mailing address
2706 WELCH ST, LITTLE ROCK, AR 72206-3350
(501) 773-9300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD16896
AR
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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