Individual
KENZIE OVERSHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 CREEK DR, JONESBORO, AR 72401-5377
(870) 203-7010
Mailing address
7483 HIGHWAY 34 W, BEECH GROVE, AR 72412-8709
(870) 450-3279
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD16299
AR
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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