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Individual

MATTHEW THOMAS BIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1123 HIGHWAY 79 167 BYP, FORDYCE, AR 71742-1810
(870) 352-8034
(870) 352-8337
Mailing address
29 VALLEY CT, SHERIDAN, AR 72150-7061
(870) 917-5799

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12866
AR

Other

Enumeration date
10/27/2020
Last updated
10/27/2020
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