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NPI Code Detail

MEDICARE: DR. KAILEY ANNETTE CLAUNCH PHARMD

MEDICARE: DR. KAILEY ANNETTE CLAUNCH 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
1183500000XPharmacistPD15411AR

General Provider Information

NPI Number : 1811597768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAILEY ANNETTE CLAUNCH PHARMD
Provider Business Mailing Address
First Line : 8801 BASELINE RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72209-5901
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8801 BASELINE RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72209-5901
Country : US
Telephone Number : 501-565-0274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2020
Last Update Date : 10/29/2020

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