Individual
REBECCA TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8820 ROGERS AVE, FORT SMITH, AR 72903-5245
(479) 452-0278
Mailing address
8820 ROGERS AVE, FORT SMITH, AR 72903-5245
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7756
AR
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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