Individual
JACQUE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PD
Contact information
Practice address
311 W CHESTNUT ST, MARIANNA, AR 72360-2131
(870) 295-4100
(870) 295-4102
Mailing address
311 W CHESTNUT ST, MARIANNA, AR 72360-2131
(870) 295-4100
(870) 295-4102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07286
AR
Other
Enumeration date
03/18/2014
Last updated
12/19/2018
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