Individual
DR. KARON DALE BAXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
1200 MONTGOMERY ST, NASHVILLE, AR 71852-3645
(870) 451-3683
Mailing address
1310 S 4TH ST, NASHVILLE, AR 71852-3007
(870) 451-3683
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD05716
AR
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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