Individual
KELSEY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8511 W MARKHAM ST, LITTLE ROCK, AR 72205-2432
(501) 313-4480
Mailing address
167 CHASE LN, BEEBE, AR 72012-9571
(318) 355-3721
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15015
AR
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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