Individual
JIMMY CHOKBENGBOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1112 TOWSON AVE, FORT SMITH, AR 72901-5002
(479) 782-9210
(479) 782-0023
Mailing address
1112 TOWSON AVE, FORT SMITH, AR 72901-5002
(479) 782-9210
(479) 782-0023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14168
AR
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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