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MR. SAMUEL ALEXANDER R PH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1104812312
Individual Registrant:MR. SAMUEL ALEXANDER R PH
Gender: M
Gender: M
Location and contact information for practice:
127 N MAIN ST HARRISON, AR 72601-4227 US
Tel: 870-741-6511 Fax: --
Tel: 870-741-6511 Fax: --
Contact information for business:
108 E RUSH AVE HARRISON, AR 72601-4326 US
Tel: 870-741-8189 Fax: --
Tel: 870-741-8189 Fax: --
Registration Information:
NPI: 1104812312
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AR | 5408 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
