Individual
JENNIFER RUTH MCKENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
264 N 3RD AVE, PIGGOTT, AR 72454-2009
(870) 324-5310
(870) 324-5311
Mailing address
303 E. MAIN ST., PIGGOTT, AR 72454
(870) 598-1700
(870) 598-1702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10121
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166339407
—
AR
Enumeration date
09/30/2010
Last updated
03/06/2020
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