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NPI Code Detail

MEDICARE: DR. KAITLIN BATES PHARMD

MEDICARE:  DR. KAITLIN  BATES  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
11835P2201XAmbulatory Care PharmacistPD13657AR
2183500000XPharmacistPD13657AR

General Provider Information

NPI Number : 1114565959
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAITLIN BATES PHARMD
Provider Business Mailing Address
First Line : 2509 MCCAIN BLVD
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-7606
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2509 MCCAIN BLVD
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-7606
Country : US
Telephone Number : 501-758-9307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2019
Last Update Date : 12/11/2019

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Directions to “ DR. KAITLIN BATES PHARMD” Practice Location

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