Individual
TERRY WAYNE FEYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
1644 E MAIN ST, MAGNOLIA, AR 71753
(870) 234-3493
(870) 234-5841
Mailing address
1644 E MAIN ST, MAGNOLIA, AR 71753-3804
(870) 234-3493
(870) 234-5841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD06709
AR
Other
Enumeration date
07/31/2017
Last updated
07/21/2022
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