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Individual

PAYAM CHITSAZAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1800 E CENTERTON BLVD, BENTONVILLE, AR 72712-9376
(479) 795-4105
Mailing address
901 SW NATCHEZ CT, BENTONVILLE, AR 72712-3684

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14546
AR

Other

Enumeration date
11/04/2020
Last updated
11/04/2020
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