Individual
AUSTIN GILBREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
970D ASH FLAT DR, ASH FLAT, AR 72513-9533
(870) 994-7377
(870) 994-7399
Mailing address
PO BOX 278, ASH FLAT, AR 72513-0278
(870) 994-7377
(870) 994-7399
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
AR01531
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176407
—
AR
Enumeration date
06/05/2019
Last updated
06/05/2019
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