Mckenney, Jennifer Ruth

Mckenney, Jennifer Ruth is an individual health care provider with primary practice located at 264 N 3Rd Ave , Piggott AR 72454-2009. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Mckenney, Jennifer Ruth can be contacted via phone (870) 324-5310.

Contact Information

Primary practice address
264 N 3Rd Ave Piggott AR 72454-2009
Fax: (870) 324-5311
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PD10121 Arkansas

Profile Details

NPI number 1952610594
LBN Legal business name Mckenney, Jennifer Ruth
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2010
Last updated Mar 6th, 2020 - about 6 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 1952610594 NPPES
Arkansas MEDICAID 166339407

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