Individual
QINMI AMY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
2109 W MAIN ST, RUSSELLVILLE, AR 72801
(479) 498-9540
Mailing address
604 S SEATTLE AVE, RUSSELLVILLE, AR 72801-5604
(479) 498-9540
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12835
AR
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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