Individual
MARK A DUVALL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3202 W MAIN ST, RUSSELLVILLE, AR 72801-2302
(479) 880-0180
Mailing address
PO BOX 10611, RUSSELLVILLE, AR 72812-0611
(479) 886-1689
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10307
AR
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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