Jody Elaine Gaston

NPI #1003403817 in Greenwood, Arkansas

Provider Information

NPI Number: 1003403817
Entity Type: Individual
Name: Jody Elaine Gaston
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 28, 2020
Last Updated: Dec 28, 2020

Practice Location

Address: 1530 W CENTER ST
City: Greenwood
State: Arkansas
ZIP Code: 72936-3400
Phone: (479) 996-9898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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