Individual
LORLEI M THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2413 W BEEBE CAPPS EXPY, SEARCY, AR 72143-4907
(501) 305-4108
Mailing address
648 STANLEY RD, BALD KNOB, AR 72010-9162
(501) 724-5301
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT89152
AR
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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