Individual
MRS. LYSSA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1722 W WALNUT ST, ROGERS, AR 72756-3324
(479) 246-0196
Mailing address
1722 W WALNUT ST, ROGERS, AR 72756-3324
(479) 246-0196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2010033103
MO
183500000X
Pharmacist
Primary
PD11456
AR
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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