Individual
DR. ATHENA L LEWALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
505 SALEM RD, CONWAY, AR 72034-4815
(501) 328-3117
Mailing address
601 N SAINT JOSEPH ST, MORRILTON, AR 72110-2104
(501) 354-4669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11975
AR
Other
Enumeration date
07/23/2012
Last updated
09/29/2020
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