Individual
KELLY JEANINE HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PD
Contact information
Practice address
25 BULL RUN LOOP, CABOT, AR 72023-9401
(501) 259-0564
Mailing address
25 BULL RUN LOOP, CABOT, AR 72023-9401
(501) 259-0564
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07555
AR
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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