Individual
MARTHA GUADALUPE GANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PD13255
Contact information
Practice address
2004 S PLEASANT ST, SPRINGDALE, AR 72764-6298
(478) 756-0860
Mailing address
452 SUNSET DR, CAVE SPRINGS, AR 72718-8824
(479) 856-1819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13255
AR
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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