Healthcare Provider Details

I. General information

NPI: 1093620627
Provider Name (Legal Business Name): MARMADUKE PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11901 US 49 N
MARMADUKE AR
72443
US

IV. Provider business mailing address

11901 US 49 N
MARMADUKE AR
72443
US

V. Phone/Fax

Practice location:
  • Phone: 870-597-2911
  • Fax: 870-597-2217
Mailing address:
  • Phone: 870-597-2911
  • Fax: 870-597-2217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SHANNON MARIE HAYWOOD
Title or Position: OWNER
Credential: PHARMD.
Phone: 870-595-4066