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DR. MICHAEL D HAMBUCHEN R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1508968389

Individual Registrant:
DR. MICHAEL D HAMBUCHEN R.PH.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1155 MAIN ST  VILONIA, AR 72173-9525 US
Tel: 501-796-2116  Fax: 501-796-2117

Contact information for business:
2331 HERMES DR  CONWAY, AR 72032-8549 US
Tel: 501-327-0225  Fax: --

Registration Information:
NPI: 1508968389
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
ARAR10249

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
100647407AR05




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