Individual
RANDILYN BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1172 NORTH AR 7, DARDANELLE, AR 72834
(479) 229-2502
Mailing address
715 STONEGATE DR, RUSSELLVILLE, AR 72802-2463
(985) 413-3467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD17050
AR
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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