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Individual

BRANT DOUGLAS ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
616 N GARLAND AVE, FAYETTEVILLE, AR 72701-3116
(479) 443-1658
(479) 443-8038
Mailing address
616 N GARLAND AVE, FAYETTEVILLE, AR 72701-3116
(479) 443-1658
(479) 443-8038

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13728
AR

Other

Enumeration date
11/11/2020
Last updated
11/11/2020
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