Individual
DR. CLARICE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
PO BOX 2429, SMYRNA, TN 37167-1719
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PD14202
AR
Other
Enumeration date
03/26/2018
Last updated
05/26/2021
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