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Individual

WALTER LYN FRUCHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
400 W CAPITOL AVE # 100B, LITTLE ROCK, AR 72201-3436
(501) 374-2207
(501) 374-2208
Mailing address
400 W CAPITOL AVE # 100B, LITTLE ROCK, AR 72201-3436
(501) 374-2207
(501) 374-2208

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07259
AR

Other

Enumeration date
11/18/2011
Last updated
11/18/2011
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