Angela R Clevenger, DOCTOR OF PHARMACY
Individual provider Active NPI Pharmacist · Ashdown, AR
NPI 1811337207 · NPPES record last updated Jun 28, 2013
Key facts
- NPI
- 1811337207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD08533 (AR)
- Practice address
- 191 W Main St
Ashdown, AR 71822-2714 - Phone
- (870) 898-5151
- Fax
- (870) 898-2395
- NPI assigned
- Jun 28, 2013
- 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 |
|---|---|---|---|
| PD08533 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD08533 | AR | Yes |
Addresses
Primary practice location
191 W Main St
Ashdown, AR 71822-2714
Mailing address
191 W Main St
Ashdown, AR 71822-2714
Phone (870) 898-5151
Other providers in Ashdown, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2013. 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.