Individual
DEBRA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S BOWMAN RD, LITTLE ROCK, AR 72211-3616
(501) 859-8710
Mailing address
700 S BOWMAN RD, LITTLE ROCK, AR 72211-3616
(501) 859-8710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD06958
AR
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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