Individual
AMELIA S LASATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1155 HWY 65N, CONWAY, AR 72032
(501) 329-1592
(501) 329-5046
Mailing address
1155 HWY 65N, CONWAY, AR 72032
(501) 329-1592
(501) 329-5046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10547
AR
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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