Individual
CHRISTINA KAYE DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 MADISON ST., CLARENDON, AR 72029
(870) 747-3304
(870) 747-5324
Mailing address
605 FRONT ST, CLARENDON, AR 72029-2001
(870) 747-5625
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT87320
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1291951
—
LA
01
—
281107-48-001
STATE SALES TAX
AR
Enumeration date
09/26/2006
Last updated
07/08/2007
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