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NPI Code Detail

MEDICARE: COLTON ANDREWS PHARMD

MEDICARE: COLTON ANDREWS 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
1183500000XPharmacistPD16693AR

General Provider Information

NPI Number : 1760216014
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLTON ANDREWS PHARMD
Provider Business Mailing Address
First Line : 2609 MCCAIN BLVD
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-8013
Country : US
Telephone Number : 501-353-1984
Fax Number : 501-353-2698
Provider Business Practice Location Address
First Line : 2609 MCCAIN BLVD
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-8013
Country : US
Telephone Number : 501-353-1984
Fax Number : 501-353-2698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2024
Last Update Date : 08/29/2024

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1154109601 — CORNERSTONE PHARMACY LAKEWOOD, LLC
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Practice Fax: 501-353-2698

Directions to “ COLTON ANDREWS PHARMD” Practice Location

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