Grant Ellis Womack, PHARMD

NPI #1003433186 in Fayetteville, Arkansas

Provider Information

NPI Number: 1003433186
Entity Type: Individual
Name: Grant Ellis Womack, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jul 6, 2020
Last Updated: Jul 6, 2020

Practice Location

Address: 2515 E HUNTSVILLE RD
City: Fayetteville
State: Arkansas
ZIP Code: 72701-7329
Phone: (479) 443-3411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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