Individual
JUSTIN PAUL CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
406 S WALTON BLVD, BENTONVILLE, AR 72712-5705
(479) 273-5080
(479) 283-5083
Mailing address
13594 L C HICKMAN RD, CENTERTON, AR 72719-9017
(479) 876-9422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12328
AR
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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