Individual
MARY JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
400 BRYANT AVE, BENTON, AR 72022-3813
(501) 847-4615
Mailing address
7017 WESTSHORE AVE, BENTON, AR 72019-6602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08599
AR
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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