Individual
KRYSTAL EDGE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2003 W CENTER ST, BEEBE, AR 72012-2544
(501) 882-1516
Mailing address
46 N BERYL RD, VILONIA, AR 72173-9719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12792
AR
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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