Individual
BRIAN FITZWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1301 N ILLINOIS ST, HARRISBURG, AR 72432-3021
(870) 578-5362
Mailing address
63 COUNTY ROAD 436, JONESBORO, AR 72404-7618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08501
AR
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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