Individual
KIMBERLY MCCANDLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHAMACIST
Contact information
Practice address
2805 MID CITIES DR STE 1, BENTONVILLE, AR 72712-4291
(479) 271-7754
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13748
AR
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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