Individual
INA GAVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 S WALTON BLVD, BENTONVILLE, AR 72712-5705
(479) 273-5080
Mailing address
4200 W CANDLEWOOD PL, ROGERS, AR 72758-8235
(727) 417-3459
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14205
AR
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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