Provider Demographics
NPI:1396855490
Name:CURRAN, DONALD RAY (PD)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:RAY
Last Name:CURRAN
Suffix:
Gender:M
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1085
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72702
Mailing Address - Country:US
Mailing Address - Phone:479-521-7876
Mailing Address - Fax:479-521-7889
Practice Address - Street 1:5201 WILLOW CREEK
Practice Address - Street 2:
Practice Address - City:JOHNSON
Practice Address - State:AR
Practice Address - Zip Code:72741
Practice Address - Country:US
Practice Address - Phone:479-521-7876
Practice Address - Fax:479-521-7889
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD06033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist