Individual
MARTHA GWEN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 HIGHWAY 71 S, FORT SMITH, AR 72908-8042
(479) 289-6898
Mailing address
9822 HAVEN BLVD, FORT SMITH, AR 72916-6037
(479) 650-2388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08429
AR
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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