Individual
JEFFREY FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 DODSON AVE, FORT SMITH, AR 72901-5129
(479) 783-6135
(479) 785-2922
Mailing address
1615 DODSON AVE, FORT SMITH, AR 72901-5129
(479) 785-2922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07666
AR
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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