NPI 1003455510

Charles Andrew Isely

Practitioner Pharmacist Conway, AR

Practice location

Address: 101 Oak St, Conway, AR 72032-4642
Phone: (501) 329-0795

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PD07322 (AR)

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Registry record

NPI: 1003455510
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Dec 2019
Record last updated: 31 Dec 2019

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.