Individual
LISA MUTTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 CLOVERLEAF PLZ, VAN BUREN, AR 72956-5042
(479) 471-0800
(479) 471-8367
Mailing address
120 CLOVERLEAF PLZ, VAN BUREN, AR 72956-5042
(479) 471-0800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD06975
AR
Other
Enumeration date
11/14/2013
Last updated
12/04/2013
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