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NPI Code Detail

MEDICARE: DR. DAVID LEE RAINBOLT PHARMD

MEDICARE: DR. DAVID LEE RAINBOLT 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
1183500000XPharmacistPD08163AR

General Provider Information

NPI Number : 1750763611
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID LEE RAINBOLT PHARMD
Provider Business Mailing Address
First Line : 2609 MCCAIN BLVD
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-8013
Country : US
Telephone Number : 501-353-1984
Fax Number : 501-353-2698
Provider Business Practice Location Address
First Line : 2609 MCCAIN BLVD
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-8013
Country : US
Telephone Number : 501-353-1984
Fax Number : 501-353-2698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2015
Last Update Date : 06/26/2015

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Directions to “ DR. DAVID LEE RAINBOLT PHARMD” Practice Location

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