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General NPI Number Information
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NPI Number | 1871113126
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Entity Type | Individual
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Provider Name | LAUREN FELTS CROOK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 1045 W MAIN ST STE B
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City | WALNUT RIDGE
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State | AR
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Zip | 72476-1004
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Country | US
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Telephone | 870-886-5200
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Fax | 807-886-5252
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Provider Business Mailing Address
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Address Line | 4508 LOCHMOOR CIR
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City | JONESBORO
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State | AR
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Zip | 72405-8149
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Country | US
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Telephone | 870-217-2336
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD14130
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License Number State | AR
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