Individual
DR. MARY KATELYN COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
121 N COMMERCE AVE, RUSSELLVILLE, AR 72801-3790
(479) 968-2456
(479) 968-7914
Mailing address
121 N COMMERCE AVE, RUSSELLVILLE, AR 72801-3741
(479) 968-2456
(479) 968-7914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12364
AR
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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