Organization
EAST END EXPRESS PHARMACY INC
Active
Other names
East End Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN BRENNA GREENE PHARMD (SECRETARY/TREASURER)
(501) 486-4100
Entity
Organization
Contact information
Practice address
21019 HIGHWAY 167, SUITE 100, HENSLEY, AR 72065
(501) 486-4100
(501) 486-4101
Mailing address
21019 HIGHWAY 167, SUITE 100, HENSLEY, AR 72065
(501) 486-4100
(501) 486-4101
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20875
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176226
PK
—
05
—
225422407
—
AR
Enumeration date
02/27/2018
Last updated
03/15/2022
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