Provider Demographics
NPI:1275617946
Name:RAGSDALE, BRANDON NEIL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:NEIL
Last Name:RAGSDALE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:MR
Other - First Name:BRANDON
Other - Middle Name:NEIL
Other - Last Name:RAGSDALE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:6 HAPPY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-9677
Mailing Address - Country:US
Mailing Address - Phone:501-520-9999
Mailing Address - Fax:
Practice Address - Street 1:4300 W 7TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5446
Practice Address - Country:US
Practice Address - Phone:501-257-6338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR08744183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist