Individual
GINA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
500 E COLLIN RAYE DR, DE QUEEN, AR 71832-8048
(870) 642-5680
(870) 642-5683
Mailing address
577 POLK ROAD 252, GRANNIS, AR 71944-9401
(479) 216-0168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AR10790
AR
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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