Individual
GAVIN BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 E MARKET ST, CLARKSVILLE, AR 72830-9069
(479) 754-6169
Mailing address
26 SAIA MOUNTAIN DR, PLAINVIEW, AR 72857-9029
(318) 278-2176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD16659
AR
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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