Individual
DR. MARY ALISON BRASHEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
960 FOSTER LN, FAYETTEVILLE, AR 72730-8507
(479) 530-8727
Mailing address
960 FOSTER LN, FAYETTEVILLE, AR 72730-8507
(479) 530-8727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD09340
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PD09340
PHARMACY LICENSE
AR
Enumeration date
01/07/2025
Last updated
01/07/2025
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