Provider Demographics
NPI:1043496011
Name:STIMSON, CHERYL R (PD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:R
Last Name:STIMSON
Suffix:
Gender:F
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 HIGHWAY 65 S
Mailing Address - Street 2:SUITE A
Mailing Address - City:DUMAS
Mailing Address - State:AR
Mailing Address - Zip Code:71639-2731
Mailing Address - Country:US
Mailing Address - Phone:870-382-2955
Mailing Address - Fax:870-382-6709
Practice Address - Street 1:301 HIGHWAY 65 S
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:AR
Practice Address - Zip Code:71639-2335
Practice Address - Country:US
Practice Address - Phone:870-382-0500
Practice Address - Fax:870-382-6709
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-21
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD06932183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist