Individual
TIFFANY HALE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
367 W MAIN ST, FARMINGTON, AR 72730-2622
(479) 267-0043
Mailing address
367 W MAIN ST, FARMINGTON, AR 72730-2622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11437
AR
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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