| The Functional Pharmacist Inc | |
|
401 Main St Lake Village AR 71653-1731 | |
| (870) 265-6603 | |
| Not Available |
| Full Name | The Functional Pharmacist Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 401 Main St, Lake Village, Arkansas |
| Authorized Official Name and Position | Michelle Crouse (OWNER) |
| Authorized Official Contact | 8702656603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Functional Pharmacist Inc 401 Main St Lake Village AR 71653-1731 Ph: (870) 265-6603 | The Functional Pharmacist Inc 401 Main St Lake Village AR 71653-1731 Ph: (870) 265-6603 |
| NPI Number | 1780228346 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 11/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780228346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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