Individual
MR. SHANE O'RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
4900 ROGERS AVE STE 101J, FORT SMITH, AR 72903-2068
(479) 484-9125
Mailing address
4900 ROGERS AVE STE 101J, FORT SMITH, AR 72903-2068
(479) 484-9125
(479) 484-5515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12798
OK
183500000X
Pharmacist
Primary
PD10144
AR
Other
Enumeration date
09/11/2015
Last updated
07/05/2023
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