Ppg Store 2 LLC

NPI #1447619572 in Gentry, Arkansas

Provider Information

NPI Number
1447619572
Entity Type
Organization
Organization Name
Ppg Store 2 LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 17, 2016
Last Updated
Mar 31, 2016

Practice Location

Address
560 GENTRY BLVD
City
Gentry
ZIP Code
72734-8576
Phone
(479) 525-6200

Authorized Official

Name
ZACH HOLDERFIELD
Title
OWNER, PIC, AO
Phone
(870) 814-0605

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Compounding PharmacyCompounding Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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