Most Relevant Information
Provider Data
| NPI Number: | 1003403718 |
| Provider Name: | REBECCA ANN RENICK DOCTOR OF PHARMACY |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PD09688 |
Most Important Dates
| Enumeration Date: | 12/29/2020 |
| Last Updated: | 12/29/2020 |
Provider Practice Location
4307 E BROADWAY ST
NORTH LITTLE ROCK
AR
721174124
Practice Location Phone/Fax
| Phone: | 5019453264 |
| Fax: | 5019456976 |
Provider Mailing Location
9097 STONE CANYON DR
ALEXANDER
AR
720025012
Provider Mailing Phone/Fax
| Phone: | 5015801909 |
| Fax: |