Individual
DR. MARY KATELYN RECORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 W DICKSON ST, FAYETTEVILLE, AR 72701
(479) 442-6262
Mailing address
2733 E COUNTRY WAY, FAYETTEVILLE, AR 72703
(479) 799-8219
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD17026
AR
Other
Enumeration date
05/23/2024
Last updated
07/02/2024
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