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Individual

MRS. ALLISON D CLEM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2504 MARKET TRCE, FORT SMITH, AR 72908-8676
(479) 646-5505
(479) 649-7535
Mailing address
PO BOX 863, LAVACA, AR 72941-0863
(479) 674-2018

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9610
AR

Other

Enumeration date
09/20/2005
Last updated
07/08/2007
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