Individual
RANDY PAUL STAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2109 W MAIN, RUSSELLVILLE, AR 72801
(479) 498-9540
(479) 498-9543
Mailing address
503 WALLEYE DR, RUSSELLVILLE, AR 72802-7298
(479) 747-1409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08199
AR
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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