Individual
MS. CECELIA ROSE O'KEEFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1749 W WALNUT ST, ROGERS, AR 72756-3323
(910) 441-9842
Mailing address
1749 W WALNUT ST, ROGERS, AR 72756-3323
(910) 441-9842
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17877
NC
183500000X
Pharmacist
Primary
PDP13909
AR
183500000X
Pharmacist
RP038410L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0315275
—
NC
01
—
380456365
MEDICARE
NC
Enumeration date
09/23/2010
Last updated
11/30/2020
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