Annice Jean Craig, PHARMD
Individual provider Active NPI Pharmacist · Clinton, AR
NPI 1043740426 · NPPES record last updated Jul 26, 2023
Key facts
- NPI
- 1043740426
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD14049 (AR)
- Practice address
- 129 Bone St
Clinton, AR 72031-6609 - Phone
- (501) 745-4266
- Fax
- (501) 745-5707
- NPI assigned
- Jun 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD14049 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Home Pharmacy LLC | Current | Accepting new patients | |
| American Home Pharmacy LLC | Current | Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
129 Bone St
Clinton, AR 72031
Phone (501) 745-4266
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD14049 | AR | Yes |
Addresses
Primary practice location
129 Bone St
Clinton, AR 72031-6609
Mailing address
129 Bone St
Clinton, AR 72031-6609
Phone (501) 745-4266
Other providers in Clinton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2023. 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.