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Individual

CHARLIE TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
11200 ARCH ST, LITTLE ROCK, AR 72206-4649
(501) 261-7181
(501) 261-7307
Mailing address
11200 ARCH ST, LITTLE ROCK, AR 72206-4649
(501) 261-7181
(501) 261-7307

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11296
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142625407
AR
Enumeration date
08/29/2013
Last updated
08/29/2013
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