Individual
MANUEL GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
240 SLACK ST, PEA RIDGE, AR 72751-3759
(479) 451-9008
Mailing address
7 YOCUM RD, ROGERS, AR 72756-9245
(479) 616-4845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD17416
AR
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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