Individual
KELLY DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 MALONE DR, ARKADELPHIA, AR 71923-8111
(870) 246-5410
Mailing address
218 DARBY RD, ARKADELPHIA, AR 71923-9291
(870) 245-8560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD09698
AR
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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