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NPI Code Detail

MEDICARE: MARCI MEREDITH MCCLAIN PHARMD

MEDICARE: MARCI MEREDITH MCCLAIN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPD08367AR

General Provider Information

NPI Number : 1407494776
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCI MEREDITH MCCLAIN PHARMD
Provider Business Mailing Address
First Line : 75 RIVERFRONT DR APT 105
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72114-5658
Country : US
Telephone Number : 501-231-2778
Fax Number :
Provider Business Practice Location Address
First Line : 8824 GEYER SPRINGS RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72209-4765
Country : US
Telephone Number : 501-565-7584
Fax Number : 501-565-5094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2019
Last Update Date : 12/17/2019

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Directions to “ MARCI MEREDITH MCCLAIN PHARMD” Practice Location

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