Individual
RYAN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3150 HARRISON ST, BATESVILLE, AR 72501-7515
(870) 793-4464
Mailing address
6425 WHITE DR, CHARLOTTE, AR 72522-9718
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15329
AR
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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