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NPI Code Detail

MEDICARE: DR. MARY CATHERINE HUNTER PHARMD

MEDICARE: DR. MARY CATHERINE HUNTER 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
1183500000XPharmacistPD17041AR

General Provider Information

NPI Number : 1720824857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY CATHERINE HUNTER PHARMD
Provider Business Mailing Address
First Line : 435 HIGHWAY 293
Second Line :
City : TILLAR
State : AR
Zip : 71670-9413
Country : US
Telephone Number : 870-501-2488
Fax Number :
Provider Business Practice Location Address
First Line : 900 S 3RD ST
Second Line :
City : MC GEHEE
State : AR
Zip : 71654-2562
Country : US
Telephone Number : 870-690-4286
Fax Number : 870-690-4288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2024
Last Update Date : 07/08/2024

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