Individual
TIMOTHY R PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
131 N 26 ST, WALGREENS, ARKADELPHIA, AR 71923
(870) 230-1809
(870) 230-1841
Mailing address
131 N 26 ST, WALGREENS 10715, ARKADELPHIA, AR 71923
(870) 230-1809
(870) 230-1841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD06379
AR
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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