Individual
DR. HEATH NOLEN BRANSCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
213 E HOWARD ST, MANSFIELD, AR 72944-3411
(479) 928-4499
Mailing address
1800 W MAIN ST, LAVACA, AR 72941-3802
(479) 674-2222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
08703
AR
183500000X
Pharmacist
12336
OK
Other
Enumeration date
07/19/2007
Last updated
06/16/2023
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