Individual
CHARLES ANDREW ISELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 OAK ST, CONWAY, AR 72032-4642
(501) 329-0795
Mailing address
101 OAK ST, CONWAY, AR 72032-4642
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07322
AR
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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