Most Relevant Information
Provider Data
| NPI Number: | 1003417601 |
| Provider Name: | BENNETT PORTER CAPPS |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PD11061 |
Most Important Dates
| Enumeration Date: | 11/02/2020 |
| Last Updated: | 11/02/2020 |
Provider Practice Location
406 E 22ND ST
STUTTGART
AR
721609006
Practice Location Phone/Fax
| Phone: | 8706731834 |
| Fax: |
Provider Mailing Location
406 E 22ND ST
STUTTGART
AR
721609006
Provider Mailing Phone/Fax
| Phone: | 8706731834 |
| Fax: |