NPI 1649885559

Primary Care 360

Organisation Non-Pharmacy Dispensing Site Hensley, AR

Practice location

Address: 21117 Arch St, Hensley, AR 72065
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: 1649885559
Entity type: Organization
NPI issued: 9 Sep 2020
Record last updated: 22 Sep 2021

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.