Individual
LIKESELAM BANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2110 N WASHINGTON ST, FORREST CITY, AR 72335-1846
(870) 630-9042
(870) 630-9589
Mailing address
2110 N WASHINGTON ST, FORREST CITY, AR 72335-1846
(870) 630-9042
(870) 630-9589
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13235
AR
Other
Enumeration date
07/12/2015
Last updated
07/12/2015
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