Individual
KODI LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 E MATTHEWS AVE, JONESBORO, AR 72401-3125
(870) 336-7945
Mailing address
311 E MATTHEWS AVE, JONESBORO, AR 72401-3125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14558
AR
Other
Enumeration date
07/09/2018
Last updated
06/04/2020
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