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Individual

CHARLES BRIAN CULPEPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.D.

Contact information

Practice address
4407 CENTRAL AVE, HOT SPRINGS, AR 71913-7253
(501) 525-7341
(501) 525-6928
Mailing address
106 BURROUGHS ST, HOT SPRINGS, AR 71913-4860
(501) 624-6033

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07131
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PD07131
ARKANSAS PHARMACIST LICENSE
AR
Enumeration date
12/23/2019
Last updated
12/23/2019
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