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Organization

GREYSTONE RX

Active
Other names
Greystone Rx
Organization subpart
No

Provider details

NPI number
Authorized official
TRENTON SHIPLEY PD (OWNER/PIC)
(501) 286-6054
Entity
Organization

Contact information

Practice address
15361 HIGHWAY 5 APT F, CABOT, AR 72023-5144
(501) 286-6054
(501) 286-6056
Mailing address
15361 HIGHWAY 5 APT F, CABOT, AR 72023-5144
(501) 286-6054
(501) 286-6056

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20814
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
210696407
AR
01
2154512
PK
Enumeration date
09/24/2015
Last updated
01/11/2016
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