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DENISE AVILA PHARM. D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1457025454

Individual Registrant:
 DENISE  AVILA PHARM. D
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3499 BELLA VISTA WAY  BELLA VISTA, AR 72714-5740 US
Tel: 479-273-9136  Fax: --

Contact information for business:
1710 S BETH DR  ROGERS, AR 72758-5647 US
Tel: 479-531-2975  Fax: --

Registration Information:
NPI: 1457025454
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
ARPD15831

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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