Individual
SANDRA KENNAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N COLLEGE AVE, PHARMACY DEPARTMENT, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
2712 S LEO AMMONS RD, FAYETTEVILLE, AR 72701-0724
(409) 571-1946
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07075
AR
Other
Enumeration date
09/23/2006
Last updated
07/08/2007
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