WAYLON ELLIOTT BULLOCK

PARAGOULD, AR
NPI1861778714
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AR  pd8207)
Enumeration Date2011-10-24
Last Update Date2011-10-24
Business Address
-- WAYLON ELLIOTT BULLOCK Pharm d
1500 W KINGSHIGHWAY
PARAGOULD, AR 72450-4009
Phone number: 870-240-8053
Mailing Address
-- WAYLON ELLIOTT BULLOCK Pharm d
1500 W KINGSHIGHWAY
PARAGOULD, AR 72450-4009
Phone number: