Individual
JASON R GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2413 W BEEBE CAPPS EXPY, SEARCY, AR 72143-4907
(501) 305-4108
(501) 305-4514
Mailing address
2413 W BEEBE CAPPS EXPY, SEARCY, AR 72143-4907
(501) 305-4108
(501) 305-4514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10362
AR
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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