Individual
KELLY ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECH.
Contact information
Practice address
1718 HOT SPRINGS HWY, BENTON, AR 72019-2116
(501) 315-3344
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
064099
AR
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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