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DR. BARRY JOE DALLAS P.D.
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1083041693
Individual Registrant:DR. BARRY JOE DALLAS P.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
10 EAGLE ST VILONIA, AR 72173-9214 US
Tel: 501-796-2816 Fax: 501-796-2819
Tel: 501-796-2816 Fax: 501-796-2819
Contact information for business:
10 EAGLE ST VILONIA, AR 72173-9214 US
Tel: 501-796-2816 Fax: 501-796-2819
Tel: 501-796-2816 Fax: 501-796-2819
Registration Information:
NPI: 1083041693
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AR | PD06142 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| TAXONOMY CODE FOR PHARMACIST | 183500000X | AR | 01 |
