Individual
COTY PRENTICE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
400 W MOULTRIE DR, BLYTHEVILLE, AR 72315-1716
(870) 763-7951
(870) 763-7958
Mailing address
610 S RIDGEWAY DR, BLYTHEVILLE, AR 72315-8017
(870) 740-5044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15131
AR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PD15131
AR
Other
Enumeration date
11/04/2020
Last updated
11/05/2021
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