Healthcare Provider Details

I. General information

NPI: 1538260864
Provider Name (Legal Business Name): JOHN VERNON GARTON P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2080 HARRISON ST
BATESVILLE AR
72501-7413
US

IV. Provider business mailing address

50 TEMPEST LN
BATESVILLE AR
72501-9100
US

V. Phone/Fax

Practice location:
  • Phone: 870-793-2161
  • Fax: 870-793-4569
Mailing address:
  • Phone: 870-793-6260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7052
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: