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ALTON CHAMBLESS

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1285656363

Individual Registrant:
 ALTON  CHAMBLESS 
Gender: M
Sole Proprietor

Location and contact information for practice:
1626 S MADISON ST  DEWITT, AR 72042-3003 US
Tel: 870-946-1706  Fax: 870-946-3024

Contact information for business:
1109 LEE ST.  DEWITT, AR 72042 US
Tel: 870-946-1048  Fax: --

Registration Information:
NPI: 1285656363
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AR5560

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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