Individual
DR. RICHARD DALE LATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
429 SYLAMORE AVE, MOUNTAIN VIEW, AR 72560-7982
(870) 269-4295
Mailing address
409 SYLAMORE AVE, MOUNTAIN VIEW, AR 72560-8607
(870) 269-4295
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD06235
AR
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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