Individual
TYRA M HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
401 MAIN ST, LAKE VILLAGE, AR 71653-1731
(870) 265-5120
(870) 265-3538
Mailing address
536 HIGHWAY 144 N, LAKE VILLAGE, AR 71653-9511
(870) 265-2220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8000
AR
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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