Individual
BRIAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4208 S PLEASANT CROSSING BLVD, ROGERS, AR 72758-1345
(479) 531-1904
Mailing address
4303 W WARBAL TRL, ROGERS, AR 72758-8086
(479) 936-4695
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07805
AR
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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