Individual
MR. MARK N CHRONISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
(479) 964-9163
(479) 964-9280
Mailing address
19 WALLEYE DR, RUSSELLVILLE, AR 72802-7283
(479) 968-6655
(479) 964-9280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD05916
AR
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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