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Individual

JOSHUA B PHIFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1003 W MAIN ST, RUSSELLVILLE, AR 72801-3517
(479) 890-3402
(479) 890-3407
Mailing address
1003 W MAIN ST, RUSSELLVILLE, AR 72801-3517
(479) 890-3402
(479) 890-3407

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PD13068
AR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PD13068
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PD13068
ARKANSAS PHARMACIST LICENSE
AR
Enumeration date
12/19/2019
Last updated
02/21/2020
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