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Individual

WILLIAM CLAY CANADA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R PH

Contact information

Practice address
101 W WATERMAN ST, DUMAS, AR 71639-2139
(870) 382-4343
Mailing address
101 W WATERMAN ST, DUMAS, AR 71639-2139
(870) 382-4343

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0402470
AR

Other

Enumeration date
09/01/2005
Last updated
06/20/2008
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