Individual
DR. STEPHEN DALE BLANKINCHIP JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2507 MARKET TRCE, FORT SMITH, AR 72908-8677
(479) 646-5505
(479) 649-9535
Mailing address
2507 MARKET TRCE, FORT SMITH, AR 72908-8677
(479) 646-5505
(479) 649-9535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14112
AR
Other
Enumeration date
06/17/2022
Last updated
05/16/2023
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