Lisa M Gardner PHARMD

NPI 1063406833 - Pharmacist - 183500000X

NPI Details
NPI 1063406833
Gender Female
Enumeration Date 09/07/2005
Last Updated 09/29/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
830 E MAIN ST
MELBOURNE AR, 72556-1370, US
Phone (870) 368-7171
Fax (870) 368-5295
Business Location
PO BOX 1370
MELBOURNE AR, 72556-1370, US
Phone (870) 368-7171
Fax (870) 368-5295
Toxanomy
Taxonomy Code 183500000X
License State Arkansas
License Number 08467
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According to our database, Dr. Lisa M Gardner PHARMD NPI is 1063406833, taxonomy code is 183500000X and license number is 08467, license state is located at Arkansas. Lisa M Gardner PHARMD physically located at 830 E Main St, Melbourne AR, 72556-1370. NPI Number Lisa M Gardner PHARMD has the Individual type.

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1063406833 NPI number is provided on an as is basis without warranty of any kind. 1063406833 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa M Gardner PHARMD are for informational purposes only.