Organization
SARDIS ROAD DRUG INC.
Active
Other names
Shannon Hills Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CARL GRIFFIN PD (OWNER/PHARMACIST)
(501) 455-1086
Entity
Organization
Contact information
Practice address
13907 HIGH RD, MABELVALE, AR 72103-3212
(501) 455-1086
(501) 455-4780
Mailing address
13907 HIGH RD, MABELVALE, AR 72103-3212
(501) 455-1086
(501) 455-4780
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
AR01303
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100458407
—
AR
Enumeration date
11/04/2005
Last updated
03/07/2023
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