Individual
MRS. DEBBIE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-0491
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11897
AR
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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