Individual
CHARITY GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 S KNOXVILLE AVE, RUSSELLVILLE, AR 72801-5315
(479) 967-4498
Mailing address
100 S KNOXVILLE AVE, RUSSELLVILLE, AR 72801-5315
(479) 967-4498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PT11867
AR
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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