Individual
ANDREW MIKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 W MLK BLVD, FAYETTEVILLE, AR 72701-6443
(479) 435-2008
Mailing address
660 W MLK BLVD, FAYETTEVILLE, AR 72701-6443
(479) 435-2008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13512
AR
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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