Individual
DR. JOHNNY WADE HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
1100 N COLLEGE AVE, VETERANS ADMINISTRATION HOSPITAL (119 PHARMACY), FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
1945 S FESCUE CT, FAYETTEVILLE, AR 72701-0822
(479) 790-6931
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PD09552
AR
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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