The Functional Pharmacist INC
NPI #1780228346 in Lake Village, Arkansas
Provider Information
- NPI Number
- 1780228346
- Entity Type
- Organization
- Organization Name
- The Functional Pharmacist INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 6, 2019
- Last Updated
- Nov 26, 2019
Practice Location
- Address
- 401 MAIN ST
- City
- Lake Village
- State
- Arkansas
- ZIP Code
- 71653-1731
- Phone
- (870) 265-6603
Authorized Official
- Name
- MICHELLE CROUSE, PHARMD
- Title
- OWNER
- Phone
- (870) 265-6603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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