Lisa Fox Terry, P.D.
Individual provider Active NPI Pharmacist · Mayflower, AR
NPI 1043669385 · NPPES record last updated Jun 7, 2016
Key facts
- NPI
- 1043669385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD06944 (AR)
- Practice address
- 116 River Road Dr W
Mayflower, AR 72106-8426 - Phone
- (501) 554-6168
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD06944 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD06944 | AR | Yes |
Addresses
Primary practice location
116 River Road Dr W
Mayflower, AR 72106-8426
Mailing address
116 River Road Dr W
Mayflower, AR 72106-8426
Phone (501) 554-6168
Other providers in Mayflower, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.