Individual
ALEXANDRIA MICHELLE VAN ENK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14820 CANTRELL RD, LITTLE ROCK, AR 72223-4244
(501) 868-6324
Mailing address
12 BETSY LN, LITTLE ROCK, AR 72205-4910
(501) 606-2634
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PD16194
AR
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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