Individual
CARISSA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2401 MALCOLM AVE, NEWPORT, AR 72112-3673
(870) 217-0170
Mailing address
2401 MALCOLM AVE, NEWPORT, AR 72112-3673
(870) 217-0170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10433
AR
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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