Individual
KRISTINA TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 MARKET SQUARE DR, SPRINGDALE, AR 72762-4984
(479) 750-7856
Mailing address
1375 MARKET SQUARE DR, SPRINGDALE, AR 72762-4984
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11858
AR
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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