Individual
LORA ELIZABETH WHITACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1722 W WALNUT ST, ROGERS, AR 72756-3324
(479) 246-0196
Mailing address
4203 WORTHINGTON DR, ROGERS, AR 72758-8867
(479) 866-3172
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AR9807
AR
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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