Individual
GREG MARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 WAL MART DR, MOUNTAIN HOME, AR 72653-6784
(870) 492-7733
Mailing address
65 WAL MART DR, MOUNTAIN HOME, AR 72653-6784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08470
AR
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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