Individual
JENNIFER FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CASE COMMONS DR, MOUNTAIN VIEW, AR 72560-5016
(870) 269-4329
Mailing address
PO BOX 498, MOUNTAIN VIEW, AR 72560-0498
(870) 269-4329
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AR09095
AR
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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