Individual
DR. KERRY JACKSON SCROGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
850 OAK ST, CONWAY, AR 72032-4494
(501) 327-5638
Mailing address
850 OAK ST, CONWAY, AR 72032-4494
(501) 327-5638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15377
AR
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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