Individual
GARY BENTLEY BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 BROADWAY ST, LITTLE ROCK, AR 72206-1222
(501) 374-6565
(501) 374-6231
Mailing address
1801 BROADWAY ST, LITTLE ROCK, AR 72206-1222
(501) 374-6565
(501) 374-6231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
06935
AR
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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