Individual
JASON LINEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2135 N WEST AVE, EL DORADO, AR 71730-3351
(870) 862-5458
Mailing address
2135 N WEST AVE, EL DORADO, AR 71730-3351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12377
AR
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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