Individual
STEVE LUTHER GOSSAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
620 W SOUTH ST, BENTON, AR 72015-4258
(501) 778-3151
Mailing address
620 W SOUTH ST, BENTON, AR 72015-4258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14523
AR
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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