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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COTY PRENTICE MARTIN, DOCTOR OF PHARMACY

Active Sole Proprietor

Pharmacist · BLYTHEVILLE, AR

Registration Details

NPI Number
1306447529
Provider Type
Individual
Gender
Male
NPI Issued
Nov 4, 2020 (5.4618764294005 yrs)
Last Updated
Nov 5, 2021
Licenses
PD15131 (AR)
PD15131 (AR)
Sole Proprietor
Yes

Practice Information

Address
400 W MOULTRIE DR
BLYTHEVILLE, AR, 723151716
Browse AR providers · Browse ZIP 72315
Phone
8707637951
Fax
8707637958
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Providers in BLYTHEVILLE, AR

Name Credential NPI
DANESHA WILLIAMS 1396182655
DR. JAMES ANTHONY SHERIDAN PHARMD 1992147490
DR. JILLIAN HESTER PHARMD 1851775076
JOHN CHARLES ROSE JR. PHARM.D 1720451859
MELISSA JOY PHARMD 1598218828
DR. ROBERT AUSTIN BLUE PHARMD 1336633205
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.