Individual
JAMES BLAKE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
1112 WINDOVER RD, JONESBORO, AR 72401-6038
(870) 935-6364
Mailing address
1112 WINDOVER RD, JONESBORO, AR 72401-6038
(870) 935-6364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD06844
AR
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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