Individual
DR. JAMIE CAROL IVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
120 S 4TH ST, HEBER SPRINGS, AR 72543-3810
(501) 362-5853
(501) 500-6380
Mailing address
120 S 4TH ST, HEBER SPRINGS, AR 72543-3810
(501) 362-5853
(501) 500-6380
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10356
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205482407
—
AR
Enumeration date
01/13/2021
Last updated
01/13/2021
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