| Primary Care 360 | |
|
103 Frankie Ln White Hall AR 71602-2685 | |
| (870) 393-5050 | |
| Not Available |
| Full Name | Primary Care 360 |
|---|---|
| Speciality | Non-pharmacy Dispensing Site |
| Location | 103 Frankie Ln, White Hall, Arkansas |
| Authorized Official Name and Position | Khalid Rayaz (OWNER) |
| Authorized Official Contact | 8703935050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care 360 103 Frankie Ln White Hall AR 71602-2685 Ph: (870) 393-5050 | Primary Care 360 103 Frankie Ln White Hall AR 71602-2685 Ph: (870) 393-5050 |
| NPI Number | 1134734049 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 09/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134734049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Primary |
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