Individual
DR. LISA M GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
109 N 1ST ST, FLIPPIN, AR 72634-8613
(501) 313-1148
Mailing address
PO BOX 1390, FLIPPIN, AR 72634-1390
(870) 493-7367
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
08467
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PD08467
AR STATE BOARD OF PHARMACY
AR
Enumeration date
09/07/2005
Last updated
02/02/2022
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