Individual
DR. BRENT DANON MOONEYHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
239 COUNTY ROAD 782, JONESBORO, AR 72401-7746
(870) 802-1067
Mailing address
239 COUNTY ROAD 782, JONESBORO, AR 72401-7746
(870) 802-1067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD09158
AR
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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