Provider Demographics
NPI:1376134791
Name:BARTROW, NATHAN RYAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:RYAN
Last Name:BARTROW
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 EAST MAIN
Mailing Address - Street 2:AMERICAN DRUGS PHARMACY
Mailing Address - City:GREENBRIER
Mailing Address - State:AR
Mailing Address - Zip Code:72058
Mailing Address - Country:US
Mailing Address - Phone:501-679-2211
Mailing Address - Fax:501-679-5146
Practice Address - Street 1:1 EAST MAIN
Practice Address - Street 2:AMERICAN DRUGS PHARMACY
Practice Address - City:GREENBRIER
Practice Address - State:AR
Practice Address - Zip Code:72058-7205
Practice Address - Country:US
Practice Address - Phone:501-679-2211
Practice Address - Fax:501-679-2211
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD11070183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist