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Individual

DR. BARRY JOE DALLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.D.

Contact information

Practice address
10 EAGLE ST, VILONIA, AR 72173-9214
(501) 796-2816
(501) 796-2819
Mailing address
10 EAGLE ST, VILONIA, AR 72173-9214
(501) 796-2816
(501) 796-2819

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD06142
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
183500000X
TAXONOMY CODE FOR PHARMACIST
AR
Enumeration date
09/27/2013
Last updated
09/27/2013
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