MEDICARE: DR. ZAKARY L KENDRICK 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
1	183500000X	Pharmacist	PD15474	AR

General Provider Information

NPI Number	:	1588258073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZAKARY L KENDRICK PHARMD

Provider Business Mailing Address
First Line	:	411 S MAIN ST
Second Line	:
City	:	BEEBE
State	:	AR
Zip	:	72012-3724
Country	:	US
Telephone Number	:	501-454-9488
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 HWY 64 W
Second Line	:
City	:	BEEBE
State	:	AR
Zip	:	72012-9500
Country	:	US
Telephone Number	:	501-882-5425
Fax Number	:	501-882-7147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2021
Last Update Date	:	02/24/2021

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