NPI 1003403817

Jody Elaine Gaston

Practitioner Pharmacist Greenwood, AR

Practice location

Address: 1530 W Center St, Greenwood, AR 72936-3400
Phone: (479) 996-9898

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PD09556 (AR)

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Registry record

NPI: 1003403817
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2020
Record last updated: 28 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.