Individual
DR. TRENTON SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
15361 HIGHWAY 5 APT F, CABOT, AR 72023-5144
(501) 286-6054
Mailing address
15361 HIGHWAY 5 APT F, CABOT, AR 72023-5144
(501) 286-6054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11303
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210696407
—
AR
Enumeration date
01/04/2021
Last updated
01/04/2021
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