Individual
DENISE NICOLE HUSBAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 HIGHWAY 65 S, MC GEHEE, AR 71654-9417
(336) 207-7425
Mailing address
1300 W 36TH AVE, PINE BLUFF, AR 71603-6356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11751
AR
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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