Individual
MCKINLIE ALEXIS INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
26559 S SARDIS RD, BAUXITE, AR 72011-8044
(501) 589-5341
Mailing address
26559 S SARDIS RD, BAUXITE, AR 72011-8044
(501) 589-5341
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15852
AR
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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