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Individual

KIAH L DUNEHEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM. D.

Contact information

Practice address
7434 ROGERS AVE, FORT SMITH, AR 72903-5536
(479) 452-0353
Mailing address
PO BOX 895, WISTER, OK 74966-0895

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10434
AR
183500000X
Pharmacist
13941
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13941
PHARMACY BOARD
OK
01
PD10434
PHARMACY BOARD
AR
Enumeration date
04/29/2009
Last updated
04/29/2009
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