Provider Demographics
NPI:1538260864
Name:GARTON, JOHN VERNON (PA)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:VERNON
Last Name:GARTON
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 TEMPEST LN
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-9100
Mailing Address - Country:US
Mailing Address - Phone:870-793-6260
Mailing Address - Fax:
Practice Address - Street 1:2080 HARRISON ST
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7413
Practice Address - Country:US
Practice Address - Phone:870-793-2161
Practice Address - Fax:870-793-4569
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR7052183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist