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MRS. CONNIE L. MEDSKER P.D.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1174674394

Individual Registrant:
MRS. CONNIE L. MEDSKER P.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
121 NORTH COURT  CARLISLE, AR 72024-1512 US
Tel: 870-552-7837  Fax: --

Contact information for business:
PO BOX L 121 NORTH COURT STREET CARLISLE, AR 72024-1512 US
Tel: 870-552-7837  Fax: --

Registration Information:
NPI: 1174674394
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AR08095

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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