Individual
MICHAEL FERTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2730 SW LIVINGSTON SQ, BENTONVILLE, AR 72713-5022
(214) 578-3685
Mailing address
2730 SW LIVINGSTON SQ, BENTONVILLE, AR 72713-5022
(214) 578-3685
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47262
TX
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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