Individual
MRS. DANIELLE LOREN DEDMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.D.
Contact information
Practice address
6210 MASSARD RD STE 104, FORT SMITH, AR 72916-5042
(479) 551-2840
(918) 962-5750
Mailing address
6210 MASSARD RD STE 104, FORT SMITH, AR 72916-5042
(479) 551-2840
(479) 551-2492
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08844
AR
Other
Enumeration date
02/06/2007
Last updated
02/05/2024
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