Individual
DR. JENNIE ELIZABETH STATEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
535 JORDAN DR STE B, MONTICELLO, AR 71655-5714
(870) 224-0650
(870) 224-0652
Mailing address
535 JORDAN DR STE B, MONTICELLO, AR 71655-5714
(870) 224-0650
(870) 224-0652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15060
AR
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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