Individual
MELISSA KOONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 E HWY 18, BLYTHEVILLE, AR 72315-6881
(870) 763-1013
(870) 763-4963
Mailing address
3700 E HWY 18, BLYTHEVILLE, AR 72315-6881
(870) 763-1013
(870) 763-4963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07902
AR
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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