Organization
REVIVAL PHARMS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNE GREISEN RPH (PHARMACIST)
(817) 454-9750
Entity
Organization
Contact information
Practice address
603 HIGHWAY 6 STE 3, ASHLAND, NE 68003-2155
(817) 454-9750
Mailing address
603 HIGHWAY 6 STE 3, ASHLAND, NE 68003-2155
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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