Individual
LANEY MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8301 ROGERS AVE, FORT SMITH, AR 72903-5236
(479) 452-3695
Mailing address
8301 ROGERS AVE, FORT SMITH, AR 72903-5236
(479) 452-3695
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15475
AR
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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