Individual
DR. JAY RYAN HUNGERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2110 W WALNUT ST, ROGERS, AR 72756-3246
(479) 636-8238
Mailing address
304 SW DUKE AVE, BENTONVILLE, AR 72712-3683
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12732
AR
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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