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MR. SAMUEL ALEXANDER R PH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1104812312

Individual Registrant:
MR. SAMUEL  ALEXANDER R PH
Gender: M

Location and contact information for practice:
127 N MAIN ST  HARRISON, AR 72601-4227 US
Tel: 870-741-6511  Fax: --

Contact information for business:
108 E RUSH AVE  HARRISON, AR 72601-4326 US
Tel: 870-741-8189  Fax: --

Registration Information:
NPI: 1104812312
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AR5408

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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