Individual
MRS. CAROL ANN VESTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
518 MEADOW RD, RUSSELLVILLE, AR 72802-1829
(479) 495-5444
(479) 495-5446
Mailing address
PO BOX 1420, DANVILLE, AR 72833-1420
(479) 495-5444
(479) 495-5446
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
7046
AR
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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