Individual
MARCO RENELL MIDDLETON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 MADISON ST, CLARENDON, AR 72029-2717
(870) 747-3304
Mailing address
249 CARLA DR, CLARENDON, AR 72029-2503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15022
AR
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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