Individual
MRS. KATHERINE LYNNE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.D.
Contact information
Practice address
1808 W MAIN ST, PHARMACY, RUSSELLVILLE, AR 72801-2724
(479) 964-9164
(479) 964-9280
Mailing address
556 BECKY BLVD, RUSSELLVILLE, AR 72802-9404
(479) 967-8433
(479) 964-9280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7703
AR
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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