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NPI Code Detail

MEDICARE: DR. MADELINE CLARE ARTHUR MATHIS PHARM. D.

MEDICARE: DR. MADELINE CLARE ARTHUR MATHIS PHARM. D.
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
1183500000XPharmacistPD12388AR

General Provider Information

NPI Number : 1962843003
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MADELINE CLARE ARTHUR MATHIS PHARM. D.
Provider Business Mailing Address
First Line : 301 N SCHILLER ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-4445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3901 W MARKHAM ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-5527
Country : US
Telephone Number : 501-664-6017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2013
Last Update Date : 07/16/2013

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