Individual
KENNETH RAY WEDSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1800 AIRPORT RD, HOT SPRINGS, AR 71913-5396
(501) 760-2089
(501) 760-2435
Mailing address
428 JAPONICA LN, HOT SPRINGS, HOT SPRINGS, AR 71901-9527
(501) 760-2089
(501) 760-2435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08801
AR
Other
Enumeration date
10/22/2011
Last updated
10/22/2011
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