Individual
TAYLOR MATTHEW KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1703 E CENTRAL AVE, BENTONVILLE, AR 72712-5523
(479) 418-0229
Mailing address
1502 FONTAINE CT, CENTERTON, AR 72719-8808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2012025414
MO
183500000X
Pharmacist
Primary
PD12132
AR
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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