Individual
DANESHA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W MOULTRIE DR, BLYTHEVILLE, AR 72315-1716
(870) 763-7958
(870) 763-7958
Mailing address
54 COUNTY ROAD 2621, SHUBUTA, MS 39360-9056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12063
AR
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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