Organization
WAYNE RAY HARVEY
Active
Organization
WAYNE RAY HARVEY
Active
Other names
PALACE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE RAY HARVEY (PHARMACIST)
(870) 256-4317
Entity
Organization
Contact information
Practice address
313 MAIN ST, DES ARC, AR 72040-1071
(870) 256-4317
(870) 256-3387
Mailing address
PO BOX 1071, DES ARC, AR 72040-1071
(870) 256-4317
(870) 256-3387
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0417370
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0417370
NABP
AR
05
—
120780407
—
AR
Enumeration date
01/31/2007
Last updated
06/18/2008
Update your record
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