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Individual

DR. AMANDA LYNNE HIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
108 E HIGHLAND DR, JONESBORO, AR 72401-5940
(870) 802-3749
Mailing address
723 VALLEY DR, JONESBORO, AR 72401-7064
(870) 351-8344

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14131
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PD14131
PHARMACIST LICENSE
AR
Enumeration date
09/13/2020
Last updated
09/13/2020
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