Individual
NICHOLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 S AMITY RD, CONWAY, AR 72032-8732
(501) 205-7460
(501) 205-7459
Mailing address
1250 S AMITY RD, CONWAY, AR 72032-8732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15873
AR
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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