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Organization
ASH FLAT PHARMACY, INC.
Active
Organization
ASH FLAT PHARMACY, INC.
Active
Other names
Ash Flat Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN GILBREATH (OWNER/PHARMD)
(870) 994-7377
Entity
Organization
Contact information
Practice address
970D ASH FLAT DR, ASH FLAT, AR 72513-9533
(870) 994-7377
Mailing address
PO BOX 278, ASH FLAT, AR 72513-0278
(870) 994-7377
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176407
—
AR
Enumeration date
06/11/2019
Last updated
06/11/2019
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