Individual
TABITA PERET SECRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
760 MICHAELA DR, NORTH LITTLE ROCK, AR 72117-5361
(501) 992-1006
Mailing address
760 MICHAELA DR, NORTH LITTLE ROCK, AR 72117-5361
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
PD14212
AR
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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