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Individual

JACK DOWELL PITTMAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPH. GCP

Contact information

Practice address
4134 HIGHWAY 336 W, CLINTON, AR 72031-8311
(501) 745-8784
Mailing address
3 SERGIO LN, HOT SPRINGS VILLAGE, AR 71909-7929
(501) 472-2550

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
9700
OK

Other

Enumeration date
03/19/2014
Last updated
03/19/2014
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