Individual
ARDELL BOZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
1718 OLD HOT SPRINGS HWY, BENTON, AR 72015
(501) 315-3344
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 303-3115
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PD06316
AR
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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