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Vafa Ferdowsian Dpm, P.a.
Non-Pharmacy Dispensing Site in Russellville, Arkansas
NPI 1972061430

Vafa Ferdowsian Dpm, P.a. is a Non-Pharmacy Dispensing Site based in Conway, AR. Vafa Ferdowsian Dpm, P.a. practices in Russellville, AR. The NPI Number for Vafa Ferdowsian Dpm, P.a. is 1972061430 and holds a License No. (Arkansas).

The current practice location address for Vafa Ferdowsian Dpm, P.a. is 1713 W Main St, Russellville, AR and can be reached out via phone at 800-539-1911 and via fax at 501-327-3664.

Location: 1713 W Main St, Russellville, AR, 72034-0010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972061430
Provider Name
Vafa Ferdowsian Dpm, P.a.
Credential
Provider Entity Type
Organization
Address
1713 W Main St, Russellville, AR, 72034-0010
Phone Number
800-539-1911
Fax Number
501-327-3664
Provider Enumeration Date
03/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
163819748 05 AR
institution
Provider Business Practice Location Address Details
Address
1713 W Main St
City
Russellville
State
Arkansas
Zip
72801-2721
Phone Number
800-539-1911
Fax Number
501-327-3664
person
Provider Business Mailing Address Details
Address
1713 W Main St
City
Russellville
State
Arkansas
Zip
72801-2721
Phone Number
800-539-1911
Fax Number
501-327-3664
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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