NPI 1003280561

Kathy Beavers

Practitioner Pharmacist Rogers, AR

Practice location

Address: 4208 S Pleasant Crossing Blvd, Rogers, AR 72758-1345
Phone: (479) 621-0629

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PD06479 (AR)

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Registry record

NPI: 1003280561
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Nov 2015
Record last updated: 20 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.