Individual
KIARA JASMINE FAIRMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 S UNIVERSITY AVE APT 1209, LITTLE ROCK, AR 72205-5256
(702) 610-5909
Mailing address
314 S UNIVERSITY AVE APT 1209, LITTLE ROCK, AR 72205-5256
(702) 610-5909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20706
NV
183500000X
Pharmacist
66037
TX
183500000X
Pharmacist
Primary
PD15235
AR
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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