Individual
HEATHER D POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 S 4TH ST, NASHVILLE, AR 71852-3007
(870) 845-1413
Mailing address
15 DUSTY LN, NEWHOPE, AR 71959-8082
(870) 398-5447
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT91868
AR
Other
Enumeration date
02/15/2007
Last updated
07/25/2007
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