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NPI Code Detail

MEDICARE: KATE BELLINGRATH PHARMD

MEDICARE: KATE BELLINGRATH 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
1183500000XPharmacistPD16214AR

General Provider Information

NPI Number : 1720711062
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATE BELLINGRATH PHARMD
Provider Business Mailing Address
First Line : 4307 E BROADWAY ST
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72117-4124
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4307 E BROADWAY ST
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72117-4124
Country : US
Telephone Number : 501-945-3264
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2022
Last Update Date : 07/05/2022

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Directions to “ KATE BELLINGRATH PHARMD” Practice Location

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