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Individual

DR. MICHAEL L RECKTENWALD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.D.

Contact information

Practice address
624 HOSPITAL DR, EMPLOYEE PHARMACY DEPARTMENT, MOUNTAIN HOME, AR 72653-2955
(870) 508-7388
(870) 508-1354
Mailing address
18 PEBBLECREEK DR, MOUNTAIN HOME, AR 72653-5701
(870) 424-3780

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AR6928
AR

Other

Enumeration date
09/26/2005
Last updated
07/08/2007
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