Individual
DR. RANDY ISSA KASSISSIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4307 E BROADWAY ST, NORTH LITTLE ROCK, AR 72117-4124
(501) 945-3264
(501) 945-6976
Mailing address
105 MIRAMAR BLVD, LITTLE ROCK, AR 72223-3242
(501) 772-1123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11644
AR
Other
Enumeration date
06/24/2011
Last updated
12/10/2020
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