Avants, Edward David

Avants, Edward David is an individual health care provider with primary practice located at 350 Highway 62 E , Mountain Home AR 72653-3629. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Avants, Edward David can be contacted via phone (870) 424-3814.

Contact Information

Primary practice address
350 Highway 62 E Mountain Home AR 72653-3629
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PD09103 Arkansas

Profile Details

NPI number 1710261326
LBN Legal business name Avants, Edward David
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2011
Last updated Sep 30th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710261326 NPPES
Arkansas Other PD09103 LOUISIANA 15540

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