Individual
DALE EDWARD RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1016 W SOUTH ST, BENTON, AR 72015-4051
(501) 315-5100
(501) 776-1313
Mailing address
1016 W SOUTH ST, BENTON, AR 72015-4051
(501) 315-5100
(501) 776-1313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07623
AR
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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