Individual
SHANNON MICHAEL HARDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
109 WP MALONE DR, ARKADELPHIA, AR 71923
(870) 246-5420
Mailing address
2202 HIGHWAY 128, BISMARCK, AR 71929-6595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15757
AR
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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