Individual
JENNIFER WALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
316A N MAIN ST, CAVE CITY, AR 72521-9700
(870) 307-4988
Mailing address
260 PUCKETT RD, CAVE CITY, AR 72521-9547
(870) 670-4580
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11112
AR
Other
Enumeration date
01/11/2021
Last updated
10/05/2021
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