Individual
NOAH S TACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
500 N MISSOURI AVE, CORNING, AR 72422-1616
(870) 857-1006
(870) 857-3391
Mailing address
500 N MISSOURI AVE, CORNING, AR 72422-1616
(870) 857-1006
(870) 857-3391
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14548
AR
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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