NPI 1003412461

Holly Herring Ruddell

Practitioner Pharmacist Fayetteville, AR

Practice location

Address: 1780 N Crossover Rd, Fayetteville, AR 72701-2045
Phone: (479) 571-1214
Mailing address: 2215 E Meandering Way, Fayetteville, AR 72701-2794

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PD07727 (AR)

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Registry record

NPI: 1003412461
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2020
Record last updated: 9 Dec 2020

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.