IndividualActive
Jack Pittman, DPH. GCP
NPI 1174940894 · Geriatric Pharmacist · Clinton, AR
Provider details
- NPI number
- 1174940894
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- DPH. GCP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9700 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4134 Highway 336 W
Clinton, AR 72031-8311
Phone: (501) 745-8784
Approximate (ZIP-level) locationGet directions
Mailing address
3 Sergio Ln
Hot Springs Village, AR 71909-7929
Registry dates
- Enumerated
- 2014-03-19
- Last updated
- 2014-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.