THE SHOT CLINIC LLC NPI 1275960155

NPI Information

THE SHOT CLINIC, LLC is a rural health clinic center in Little Rock, AR. THE SHOT CLINIC, LLC NPI is 1275960155. The provider is registered as an organization entity type.

The provider's business location address is:

10720 N RODNEY PARHAM RD
SUITE B5
LITTLE ROCK, AR
ZIP 72212-177
Phone: (501) 225-7468
Fax: (501) 224-1834

The provider's authorized official is Fred E Wilson .
The authorized official title is Medical Director and has the following contact phone number (501) 225-7468.

The enumeration date for this NPI number is 10/9/2013 and was last updated on 10/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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