Individual
MRS. KELLY ELIZABETH MCNINCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1086 MAIN ST, VILONIA, AR 72173-8003
(501) 796-0150
(501) 796-0134
Mailing address
256 CARDIN CIR, ENOLA, AR 72047-8223
(501) 454-3020
(501) 796-0134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07721
AR
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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