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ROLAND EDWARD BEARD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1669509535
Individual Registrant: ROLAND EDWARD BEARD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
107 S DREW ST STAR CITY, AR 71667-5106 US
Tel: 870-628-4277 Fax: 870-628-4278
Tel: 870-628-4277 Fax: 870-628-4278
Contact information for business:
107 S DREW ST STAR CITY, AR 71667-5106 US
Tel: 870-628-4277 Fax: 870-628-4278
Tel: 870-628-4277 Fax: 870-628-4278
Registration Information:
NPI: 1669509535
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AR | 07163 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
