Hudson, Jonell Renae

Hudson, Jonell Renae is an individual health care provider with primary practice located at 601 W Maple Ave Ste 102 , Springdale AR 72764-5370. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Hudson, Jonell Renae can be contacted via phone (479) 750-6585.

Contact Information

Primary practice address
601 W Maple Ave Ste 102 Springdale AR 72764-5370
Phone: (479) 750-6585
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 8197 Arkansas

Profile Details

NPI number 1518562636
LBN Legal business name Hudson, Jonell Renae
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2020
Last updated Dec 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518562636 NPPES
Arkansas Other 8197 BOARD OF PHARMACY
Arkansas Other 21520406 BOARD OF PHARMACY
Arkansas Other 302004876 BOARD OF PHARMACY

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