Marty J Lute, PHARM.D.

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · McCrory, AR

NPI 1225339682 · NPPES record last updated Nov 16, 2010

Key facts

NPI
1225339682
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
PD11284 (AR)
Practice address
306 East 3Rd Street
McCrory, AR 72101
Phone
(501) 626-5883
Fax
(870) 731-3070
NPI assigned
Nov 16, 2010
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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PD11284ARMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PD11284 AR Yes

Addresses

Primary practice location

306 East 3Rd Street
McCrory, AR 72101

Mailing address

306 East 3Rd Street
McCrory, AR 72101
Phone (501) 626-5883

Other providers in McCrory, AR

All providers in McCrory, AR · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Arkansas

Sources for this page

Verify at the official NPI Registry.