Individual
KERI STUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 HIGHWAY 5 N, BRYANT, AR 72022-7000
(501) 847-7420
Mailing address
12 IVIERS DR, LITTLE ROCK, AR 72223-9143
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07885
AR
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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