Individual
ALIVIA CORA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1800 E CENTERTON BLVD, BENTONVILLE, AR 72712-9376
(479) 795-4105
Mailing address
1831 PEACOCK RD, CENTERTON, AR 72719-3029
(814) 462-4383
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452389
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP452389
PHARMACIST LICENSE
PA
Enumeration date
08/13/2018
Last updated
04/02/2026
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