Individual
VICTOR COBI TANTHAPHENGXAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1 MERCY WAY STE 50, BELLA VISTA, AR 72714-3000
(479) 876-6200
(479) 876-2232
Mailing address
1 MERCY WAY STE 50, BELLA VISTA, AR 72714-3000
(479) 876-6200
(479) 876-2232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD16629
AR
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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