Individual
MRS. VICKI CLAYTON FOWLKES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
270 MAIN STREET, MAMMOTHER SPRING, AR 72576
(870) 625-3222
(870) 625-3216
Mailing address
PO BOX 427, SALEM, AR 72576-0427
(870) 895-4242
(870) 895-3216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6041
AR
Other
Enumeration date
01/06/2006
Last updated
07/08/2007
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