Individual
KRISSY CANADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 E HIGHLAND DR, JONESBORO, AR 72401-5940
(870) 802-3749
Mailing address
187 COUNTY ROAD 3335, JONESBORO, AR 72401-0610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD09113
AR
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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