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DR. KELLY KAY BARLOW PHARM.D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1174576003

Individual Registrant:
DR. KELLY KAY BARLOW PHARM.D
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1515 FAYETTEVILLE RD  VAN BUREN, AR 72956-2246 US
Tel: 479-474-7171  Fax: 479-474-3131

Contact information for business:
1923 PARKRIDGE DR PO BOX 6877 VAN BUREN, AR 72956-7477 US
Tel: 479-474-7171  Fax: 479-474-3131

Registration Information:
NPI: 1174576003
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N183500000XPharmacy Service Providers
Pharmacist
AR8452
Y183500000XPharmacy Service Providers
Pharmacist
ARAR8452

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE LICENSE NUMBER8452AR01




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