Gary Ivey, PD

NPI #1093189557 in Rogers, Arkansas

Provider Information

NPI Number: 1093189557
Entity Type: Individual
Name: Gary Ivey, PD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PD
Enumeration Date: Nov 20, 2015
Last Updated: Nov 20, 2015

Practice Location

Address: 4208 S PLEASANT CROSSING BLVD
City: Rogers
State: Arkansas
ZIP Code: 72758-1345
Phone: (479) 621-0629

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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