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Individual

LAURA LYNN NUGENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000
Mailing address
232B FROST RD, CADDO VALLEY, AR 71923-9609
(870) 210-5162

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT87752
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
290100104072213
CERTIFIED PHARMACY TECHNICIAN
01
PT87752
PHARMACY TECHNICIAN REGISTRATION
AR
Enumeration date
05/04/2011
Last updated
05/04/2011
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