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Individual

TAMMY RENEE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
1309 NORTH LINCOLN AVE, STAR CITY, AR 71667
(870) 628-5912
(870) 628-6359
Mailing address
1309 NORTH LINCOLN AVE, STAR CITY, AR 71667
(870) 628-5912
(870) 628-6359

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AR08049
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AR08049
ARKANSAS STATE BOARD OF PHARMACY
AR
Enumeration date
09/30/2010
Last updated
09/30/2010
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