Individual
UYEN PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
819 W MAIN ST, JACKSONVILLE, AR 72076-4435
(501) 241-0225
Mailing address
7902 WORTH AVE E, BENTON, AR 72019-6971
(501) 326-8234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15901
AR
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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