Individual
MICHELLE MAUL-PENNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
935 S HOLLY ST, SILOAM SPRINGS, AR 72761-3802
(479) 549-9067
Mailing address
15464 EZELL RD, SILOAM SPRINGS, AR 72761-9316
(479) 225-2092
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD09855
AR
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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