Individual
DENNIS E WHEELUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3303 W MAIN PL, RUSSELLVILLE, AR 72801-2334
(479) 968-3540
(479) 968-6130
Mailing address
3303 W MAIN PL, RUSSELLVILLE, AR 72801-2334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD06152
AR
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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