Individual
YASHEIKA ANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2503 W 28TH AVE, PINE BLUFF, AR 71603-5053
(870) 850-6084
Mailing address
2503 W 28TH AVE, PINE BLUFF, AR 71603-5053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14657
AR
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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