Individual
HOLIDAY ROSS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 W 1ST ST N, PRESCOTT, AR 71857-3339
(870) 887-2717
(870) 887-2113
Mailing address
416 MANOR RD, PRESCOTT, AR 71857-2801
(870) 887-5020
(870) 887-2113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07545
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07545
PHARMACIST LICENSE
AR
Enumeration date
09/23/2005
Last updated
07/08/2007
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