Individual
STACI DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S UNIVERSITY AVE, LITTLE ROCK, AR 72205-5302
(501) 664-4121
Mailing address
500 S UNIVERSITY AVE STE 102, LITTLE ROCK, AR 72205-5303
(501) 664-4121
(501) 661-9831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PD14121
AR
1835P2201X
Ambulatory Care Pharmacist
Primary
PD14121
AR
Other
Enumeration date
06/15/2019
Last updated
12/23/2022
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