Individual
JOHN WIRGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 HOGAN LN STE 10, CONWAY, AR 72034-7959
(501) 328-3282
(501) 328-3278
Mailing address
815 HOGAN LN STE 10, CONWAY, AR 72034-7959
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10200
AR
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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