Individual
JASEN CREEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
1430 W 1ST ST N, PRESCOTT, AR 71857-3339
(870) 887-6664
(870) 887-2968
Mailing address
PO BOX 524, ARKADELPHIA, AR 71923-0524
(870) 246-5553
(870) 245-1790
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08834
AR
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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