Individual
LACEY GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 WP MALONE DRIVE, ARKADELPHIA, AR 71923
(870) 246-5410
Mailing address
420 CEDAR GROVE RD, ARKADELPHIA, AR 71923-8469
(870) 246-5410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11971
AR
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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