ERIKA JANEMARIE WANNER

BLYTHEVILLE, AR
NPI1881290765
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AR  c14504)
Additional Taxonomies183500000X Pharmacist
(Licence: LA  pst.020993)
183500000X Pharmacist
(Licence: TN  0000034124)
183500000X Pharmacist
(Licence: MS  e-010556)
Enumeration Date2020-12-07
Last Update Date2020-12-07
Business Address
ERIKA JANEMARIE WANNER
900 N 6TH ST
BLYTHEVILLE, AR 72315-1702
Phone number: 870-763-4507
Mailing Address
ERIKA JANEMARIE WANNER
622 KOSER DR
MARION, AR 72364-2671
Phone number: 859-552-7910