Andrew San Juan
Pharmacist in Little Rock, AR. Individual provider (NPI-1).
NPI number1962058735
StatusActive
Last updated in NPPESDec 19, 2019
Details
- NPI
- 1962058735
- Entity type
- Individual (NPI-1)
- Name
- Andrew San Juan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2019
- Certification date
- Dec 19, 2019
- Last updated
- Dec 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PD15024 | AR | Yes |
| 174H00000X | Health Educator | – | – |
Practice location
8824 Geyer Springs RdLittle Rock, AR 72209-4765
Phone 501-565-7584
Mailing address
8824 Geyer Springs RdLittle Rock, AR 72209-4765
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