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1376049338
KENNETH RAYMOND POWELL
JONESBORO, AR
NPI
1376049338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AR pd06310)
Enumeration Date
2018-03-30
Last Update Date
2018-03-30
Business Address
KENNETH RAYMOND POWELL pd
1112 WINDOVER RD
JONESBORO, AR 72401-6038
Phone number: 870-935-6364
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Mailing Address
KENNETH RAYMOND POWELL pd
434 COUNTY ROAD 751
JONESBORO, AR 72401-2105
Phone number: 870-243-0700
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