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Individual

DR. RUSSELL ALEXANDER SHARP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
4206 W NEW HOPE RD, ROGERS, AR 72758-8258
(479) 621-0958
(479) 621-0908
Mailing address
4206 W NEW HOPE RD, ROGERS, AR 72758-8258
(479) 621-0958
(479) 621-0908

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD16264
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PD16264
ARKANSAS STATE BOARD OF PHARMACY
AR
Enumeration date
07/15/2022
Last updated
07/15/2022
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