Individual
DR. MORADEKE LARRACUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
111 N BOWMAN RD, LITTLE ROCK, AR 72211-2783
(501) 225-0703
Mailing address
111 N BOWMAN RD, LITTLE ROCK, AR 72211-2783
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12327
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BW7042409
WALGREENS
AR
Enumeration date
07/06/2013
Last updated
07/06/2013
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