Most Relevant Information
Provider Data
| NPI Number: | 1003455510 |
| Provider Name: | CHARLES ANDREW ISELY |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PD07322 |
Most Important Dates
| Enumeration Date: | 12/31/2019 |
| Last Updated: | 12/31/2019 |
Provider Practice Location
101 OAK ST
CONWAY
AR
720324642
Practice Location Phone/Fax
| Phone: | 5013290795 |
| Fax: |
Provider Mailing Location
101 OAK ST
CONWAY
AR
720324642
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |