NPI 1003417601

Bennett Porter Capps

Practitioner Pharmacist Stuttgart, AR

Practice location

Address: 406 E 22nd St, Stuttgart, AR 72160-9006
Phone: (870) 673-1834

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PD11061 (AR)

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Registry record

NPI: 1003417601
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2020
Record last updated: 2 Nov 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.