Individual
AMANDA BURROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-6325
Mailing address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10324
AR
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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