Individual
IMI MVERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
178 HIGHWAY 167 N, BALD KNOB, AR 72010-4058
(501) 724-2391
Mailing address
PO BOX 211, WARD, AR 72176-0211
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PD14636
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PD14636
ARKANSAS STATE PHARMACIST LICENSE
AR
Enumeration date
10/15/2018
Last updated
10/15/2018
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