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Individual

MR. MIKE STOVER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
3800 CAMDEN RD, SUITE 1, PINE BLUFF, AR 71603-8480
(870) 879-1490
(870) 879-1920
Mailing address
3800 CAMDEN RD, SUITE 1, PINE BLUFF, AR 71603-8480
(870) 879-1490
(870) 879-1920

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
08219
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08219
PHARMACY LICENSE
AR
Enumeration date
09/23/2005
Last updated
04/20/2024
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