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Individual

MARA GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
103 GREGORY PL, JACKSONVILLE, AR 72076-3211
(501) 985-0822
(501) 985-3610
Mailing address
315 N SPRUCE ST, LITTLE ROCK, AR 72205-3838
(479) 462-6165

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PD12760
AR

Other

Enumeration date
12/15/2019
Last updated
02/10/2020
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