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MRS. KELLY ELIZABETH MCNINCH RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1164028320

Individual Registrant:
MRS. KELLY ELIZABETH MCNINCH RPH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1086 MAIN ST  VILONIA, AR 72173-8003 US
Tel: 501-796-0150  Fax: 501-796-0134

Contact information for business:
256 CARDIN CIR  ENOLA, AR 72047-8223 US
Tel: 501-454-3020  Fax: 501-796-0134

Registration Information:
NPI: 1164028320
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
ARPD07721

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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