Mark Christian Price, PHARMD
Individual provider Active NPI Pharmacist · Mabelvale, AR
NPI 1861107161 · NPPES record last updated Jan 20, 2023
Key facts
- NPI
- 1861107161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD10482 (AR)
- Practice address
- 13907 High Rd
Mabelvale, AR 72103-3212 - Phone
- (501) 451-7715
- NPI assigned
- Jan 20, 2023
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PD10482 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD10482 | AR | Yes |
Addresses
Primary practice location
13907 High Rd
Mabelvale, AR 72103-3212
Mailing address
3151 Highway 35
Benton, AR 72015-6101
Phone (501) 231-0613
Other providers in Mabelvale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 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.