Individual
COLBY PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 N MAIN ST, BRINKLEY, AR 72021-2507
(501) 516-5984
Mailing address
400 N PINE ST, LITTLE ROCK, AR 72205-4218
(501) 516-5984
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14564
AR
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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