NPI 1134734049

Primary Care 360

Organisation Non-Pharmacy Dispensing Site White Hall, AR

Practice location

Address: 103 Frankie Ln, White Hall, AR 71602-2685
Phone: (870) 393-5050

Authorised official

Name: Khalid Rayaz
Title: Owner
Phone: (870) 393-5050

Registered specialties (2)

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in Arkansas →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Arkansas →

Registry record

NPI: 1134734049
Entity type: Organization
NPI issued: 9 Sep 2020
Record last updated: 9 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.