NPI 1144907445

Dwayne R Mitchell, RPH

Practitioner Pharmacist Jonesboro, LA

Practice location

Address: 202 E Main St, Jonesboro, LA 71251-3202
Phone: (318) 259-7466
Fax: (318) 259-8019

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PST.014289 (LA)

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Registry record

NPI: 1144907445
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2023
Record last updated: 29 Jun 2023

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.