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Organization

VILONIA FAMILY PHARMACY INC LTC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAHNYA HARRIS PHARMD (CO OWNER)
(501) 796-2204
Entity
Organization

Contact information

Practice address
1122 MAIN ST STE 14, VILONIA, AR 72173-8902
(501) 796-2204
(501) 796-2208
Mailing address
1122 MAIN ST STE 14, VILONIA, AR 72173-8902
(501) 796-2204
(501) 796-2208

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
198378407
AR
Enumeration date
06/21/2024
Last updated
06/27/2024
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