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General NPI Number Information
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NPI Number | 1235614421
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Entity Type | Organization
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Legal Business Name | GREENBRIER PHARMACY INC
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 61A SOUTH BROADVIEW ST
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City | GREENBRIER
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State | AR
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Zip | 72058
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Country | US
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Telephone | 501-472-3224
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Fax |
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Provider Business Mailing Address
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Address Line | 75 KINGS HWY
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City | CONWAY
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State | AR
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Zip | 72032-9440
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Country | US
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Telephone | 501-472-3224
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/PARTNER/OWNER
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Name | ANGELA H CURTIS
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Credential | PD
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Telephone | 501-472-3224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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