Individual
PEGGY BYNUM MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
125 E TOWNSHIP, SUITE 1, FAYETTEVILLE, AR 72703-2817
(479) 443-7791
(479) 443-5761
Mailing address
5780 S PEORIA AVENUE, PPAEO INC, TULSA, OK 74105-7857
(918) 858-5200
(918) 582-4921
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD05284
AR
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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