Individual
DR. LAUREN GASTON WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
136 HEALTH PARK DR, MENA, AR 71953-9072
(479) 437-6023
Mailing address
PO BOX 1410, MENA, AR 71953-1410
(479) 437-6023
(614) 652-4771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11959
AR
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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