Nicole Greathouse
Pharmacist in Russellville, AR. Individual provider (NPI-1).
NPI number1891104147
StatusActive
Last updated in NPPESAug 11, 2014
Details
- NPI
- 1891104147
- Entity type
- Individual (NPI-1)
- Name
- Nicole Greathouse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2014
- Last updated
- Aug 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PD09858 | AR | Yes |
Practice location
715 W Main StRussellville, AR 72801-3616
Phone 479-968-1157
Mailing address
715 W Main StRussellville, AR 72801-3616
Phone 479-968-1157
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All 41 Pharmacist providers in Russellville · All 1,590 providers in Russellville
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