Individual
STELLA KOUEMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
2701 ROGERS AVE, FORT SMITH, AR 72901-4225
(479) 783-4782
Mailing address
2701 ROGERS AVE, FORT SMITH, AR 72901-4225
(479) 783-4782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14438
AR
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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