Healthcare Provider Details

I. General information

NPI: 1619573953
Provider Name (Legal Business Name): WILLIAM ARTHUR HAWES PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2020
Last Update Date: 12/10/2020
Certification Date: 12/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 N MAIN ST
HARRISON AR
72601-2911
US

IV. Provider business mailing address

620 N MAIN ST
HARRISON AR
72601-2911
US

V. Phone/Fax

Practice location:
  • Phone: 870-414-4017
  • Fax: 870-414-4909
Mailing address:
  • Phone: 870-414-4017
  • Fax: 870-414-4909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberHP01109
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: