Individual
JASON SPENER MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1006 WEST TRIMBLE AVE, BERRYVILLE, AR 72616
(870) 423-2094
Mailing address
1006 W TRIMBLE AVE, BERRYVILLE, AR 72616-4618
(870) 423-2094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD-09326
AR
Other
Enumeration date
02/05/2014
Last updated
02/01/2024
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