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1780228346
THE FUNCTIONAL PHARMACIST INC
LAKE VILLAGE, AR
NPI
1780228346
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Entity Type
Organization
Authorized Contact
MICHELLE CROUSE
Owner
870-265-6603
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-11-06
Last Update Date
2019-11-26
Business Address
THE FUNCTIONAL PHARMACIST INC
401 MAIN ST
LAKE VILLAGE, AR 71653-1731
Phone number: 870-265-6603
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Mailing Address
THE FUNCTIONAL PHARMACIST INC
401 MAIN ST
LAKE VILLAGE, AR 71653-1731
Phone number: 870-265-6603
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