Individual
DR. BRIAN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
710 4TH ST, MENA, AR 71953-3314
(479) 437-3089
Mailing address
710 4TH ST, MENA, AR 71953-3314
(479) 437-3089
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08381
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200917600A
—
OK
Enumeration date
07/29/2021
Last updated
02/27/2024
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