Martha Lea Teague, PHARM.D.
Individual provider Active NPI Pharmacist · N Little Rock, AR
NPI 1598859290 · NPPES record last updated Jul 10, 2007
Key facts
- NPI
- 1598859290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8385 (AR)
- Practice address
- 2200 Fort Roots Dr
Pharmacy SVC (119/NLR)
N Little Rock, AR 72114-1709 - Phone
- (501) 257-3348
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 8385 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8385 | AR | Yes |
Addresses
Primary practice location
2200 Fort Roots Dr
Pharmacy SVC (119/NLR)
N Little Rock, AR 72114-1709
Mailing address
2200 Fort Roots Dr
Pharmacy SVC (119/NLR)
N Little Rock, AR 72114-1709
Phone (501) 257-3348
Other providers in N Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2007. 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.