Millard Formby III

NPI #1982469847 in Texarkana, Arkansas

Provider Information

NPI Number: 1982469847
Entity Type: Individual
Name: Millard Formby III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 19, 2024
Last Updated: Feb 19, 2024

Practice Location

Address: 3710 N STATE LINE AVE
City: Texarkana
State: Arkansas
ZIP Code: 71854-1934
Phone: (870) 773-5521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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