Individual
CARMELA JILL SKAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PD
Contact information
Practice address
211 E MAIN ST, CLARKSVILLE, AR 72830-3723
(479) 754-2180
Mailing address
PO BOX 1226, RUSSELLVILLE, AR 72811-1226
(479) 858-8364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7315
AR
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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