Herraka LLC
NPI #1447640222 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1447640222
- Entity Type
- Organization
- Organization Name
- Herraka LLC
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jan 30, 2015
- Last Updated
- Jul 13, 2015
Practice Location
- Address
- 3416 OLD GREENWOOD RD
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72903-5462
- Phone
- (479) 242-2888
Authorized Official
- Name
- IHAB HERRAKA, MD
- Title
- OWNER
- Phone
- (352) 871-0992
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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| Bonnie Johnson, P.D. | |
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