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NPI Code Detail

MEDICARE: STEVEN DOUGLAS NASH RPH

MEDICARE: STEVEN DOUGLAS NASH RPH
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
1183500000XPharmacist006725AR

General Provider Information

NPI Number : 1760039655
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN DOUGLAS NASH RPH
Provider Business Mailing Address
First Line : 1223 S SPRINGFIELD DR
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72704-7123
Country : US
Telephone Number : 479-236-5977
Fax Number :
Provider Business Practice Location Address
First Line : 2404 S PROMENADE BLVD
Second Line :
City : ROGERS
State : AR
Zip : 72758-9080
Country : US
Telephone Number : 479-986-1101
Fax Number : 479-986-1111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2019
Last Update Date : 08/24/2019

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Directions to “ STEVEN DOUGLAS NASH RPH” Practice Location

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