NPI 1558098210
Van Allen Clayton, PHARMD
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
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.