Individual
LANI SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 HIGHWAY 425 S, MONTICELLO, AR 71655-4614
(870) 367-1101
(870) 367-1128
Mailing address
406 HIGHWAY 425 S, MONTICELLO, AR 71655-4614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11324
AR
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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