NPI 1003433186

Grant Ellis Womack, PHARMD

Practitioner Pharmacist Fayetteville, AR

Practice location

Address: 2515 E Huntsville Rd, Fayetteville, AR 72701-7329
Phone: (479) 443-3411

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PD15369 (AR)

Other Pharmacist providers in Arkansas →

Registry record

NPI: 1003433186
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2020
Record last updated: 6 Jul 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.