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NPI Code Detail

MEDICARE: DR. DANA BROOKE PEMBER PHARMD

MEDICARE: DR. DANA BROOKE PEMBER 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
1183500000XPharmacistPD12574AR

General Provider Information

NPI Number : 1477152502
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA BROOKE PEMBER PHARMD
Provider Business Mailing Address
First Line : 15500 CHENAL PKWY
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-2018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15500 CHENAL PKWY
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-2018
Country : US
Telephone Number : 501-217-3872
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2020
Last Update Date : 10/20/2020

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