Individual
JENNIFER MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3919 N MALL AVE, FAYETTEVILLE, AR 72703-4906
(479) 443-9267
Mailing address
3919 N MALL AVE, FAYETTEVILLE, AR 72703-4906
(479) 443-9267
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD09185
AR
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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