Individual
EMILY C LATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
110 N. WALNUT ST., IMBODEN, AR 72434
(870) 869-2046
Mailing address
297 CLUBVIEW DR, POCAHONTAS, AR 72455-8832
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10754
AR
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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