Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIEDI MASON PHARM.D. (PHARMACIST)
(870) 820-1413
Entity
Organization
Contact information
Practice address
2510 CANTRELL RD, LITTLE ROCK, AR 72202-2116
(501) 707-3607
Mailing address
12580 SOUTHRIDGE DR, LITTLE ROCK, AR 72212-1625
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
PD12269
AR
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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