MEDICARE: SPEER PHARMACY, INC.

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
1	333600000X	Pharmacy	AR09424	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0409424	OTHER		NABP NUMBER

General Provider Information

NPI Number	:	1417984741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEER PHARMACY, INC.

Provider Business Mailing Address
First Line	:	7311 N HILLS BLVD
Second Line	:	SUITE NO. 3
City	:	SHERWOOD
State	:	AR
Zip	:	72116-5355
Country	:	US
Telephone Number	:	501-835-7775
Fax Number	:	501-835-3025

Provider Business Practice Location Address
First Line	:	7311 N HILLS BLVD
Second Line	:	SUITE NO. 3
City	:	SHERWOOD
State	:	AR
Zip	:	72116-5355
Country	:	US
Telephone Number	:	501-835-7775
Fax Number	:	501-835-3025

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	DR. MARCUS GAYLON SPEER
Credential	:	P. D.
Telephone Number	:	501-835-7775

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	08/22/2020

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Directions to “SPEER PHARMACY, INC. ” Practice Location

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