Individual
DR. MICHAEL D HAMBUCHEN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1155 MAIN ST, VILONIA, AR 72173-9525
(501) 796-2116
(501) 796-2117
Mailing address
2331 HERMES DR, CONWAY, AR 72032-8549
(501) 327-0225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AR10249
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100647407
—
AR
Enumeration date
09/02/2006
Last updated
07/08/2007
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