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Domonique Deshea Wadley, PharmD

Pharmacist in Hot Springs, AR. Individual provider (NPI-1).

NPI number1023636610
StatusActive
Last updated in NPPESJul 10, 2020

Details

NPI
1023636610
Entity type
Individual (NPI-1)
Name
Domonique Deshea Wadley
Credential
PharmD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2020
Certification date
Jul 10, 2020
Last updated
Jul 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacistpd15023ARYes

Practice location

998 Shady Grove Rd Ste 1h
Hot Springs, AR 71901-8094

Phone 501-262-5400 · Fax 501-262-5404

Mailing address

208 Lacrosse St
Hot Springs, AR 71913-9553

Phone 501-655-2933

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