Individual
DR. JULIE C. KISSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPP
Contact information
Practice address
915 E MARKET AVE, SEARCY, AR 72149-5615
(501) 279-5562
(501) 279-5202
Mailing address
3088 W COUNTRY CLUB RD, SEARCY, AR 72143-9494
(501) 305-0004
(501) 279-5202
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
017520
GA
1835P1300X
Psychiatric Pharmacist
Primary
RPH017520
GA
Other
Enumeration date
06/14/2005
Last updated
12/29/2008
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