Individual
DR. TRENTON ZACHARY TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1100 N COLLEGE AVE # 119, FAYETTEVILLE, AR 72703-1944
(417) 224-1060
Mailing address
3010 W MILLSTONE DR, FAYETTEVILLE, AR 72704-5012
(417) 224-1060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15367
AR
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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