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Contact Information

WAYLON E BULLOCK, PHARM.D.
1500 W KINGSHIGHWAY
PARAGOULD, AR72450-4009
 Phone: 870-240-8053
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for WAYLON E BULLOCK · (Male)

NPI # 1861778714
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 10/24/2011
Last updated 10/24/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # PD8207
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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