Whalio Doctors

NPI 1336558188

Ardell Bozeman, PHARMACYTECHNICIAN

Practitioner Pharmacy Technician Benton, AR

Practice location

Address
1718 Old Hot Springs Hwy, Benton, AR 72015
Phone
(501) 315-3344
Mailing address
PO Box 1589, Benton, AR 72018-1589

Registered specialties

Pharmacy Technician Primary
Pharmacy Service Providers Taxonomy 183700000X Licence PD06316 (AR)

Registry record

NPI
1336558188
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Aug 2014
Record last updated
6 Aug 2014

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.