Individual
DR. CHARLES TYLER STATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
101 N MAIN ST, WARREN, AR 71671-2714
(870) 226-3751
Mailing address
101 N MAIN ST, WARREN, AR 71671-2714
(870) 226-3751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12799
AR
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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