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1053913301
BRANT DOUGLAS ROBERTS
FAYETTEVILLE, AR
NPI
1053913301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AR PD13728)
Enumeration Date
2020-11-11
Last Update Date
2020-11-11
Business Address
BRANT DOUGLAS ROBERTS PharmD
616 N GARLAND AVE
FAYETTEVILLE, AR 72701-3116
Phone number: 479-443-1658
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Mailing Address
BRANT DOUGLAS ROBERTS PharmD
616 N GARLAND AVE
FAYETTEVILLE, AR 72701-3116
Phone number: 479-443-1658
Copy
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