Individual
MARTY WAYNE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1500 HWY 25B, HEBER SPRINGS, AR 72543
(501) 362-2864
(501) 362-1984
Mailing address
1500 HWY 25B, HEBER SPRINGS, AR 72543
(501) 362-2864
(501) 362-1984
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08068
AR
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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