Whalio Doctors

NPI 1558098210

Van Allen Clayton, PHARMD

Practitioner Pharmacist Walnut Ridge, AR

Practice location

Address
1208 W Main St, Walnut Ridge, AR 72476-1005
Phone
(870) 886-8100
Fax
(870) 886-9200
Mailing address
124 Charleston Dr, Walnut Ridge, AR 72476-8552

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence PD08346 (AR)

Registry record

NPI
1558098210
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Aug 2022
Record last updated
3 Aug 2022

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.