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Coty Prentice Martin, DOCTOROFPHARMACY
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Blytheville, Arkansas
NPI 1306447529

Coty Prentice Martin is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Blytheville, AR and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Coty Prentice Martin practices in Blytheville, AR and has the professional credentials of DOCTOROFPHARMACY. The NPI Number for Coty Prentice Martin is 1306447529 and holds a License No. PD15131 (Arkansas).

The current practice location address for Coty Prentice Martin is 400 W Moultrie Dr, Blytheville, AR and can be reached out via phone at 870-763-7951 and via fax at 870-763-7958. You can also correspond with Coty Prentice Martin through the mailing address at 610 S RIDGEWAY DR, BLYTHEVILLE, AR - 72315-8017 (mailing address contact number: 870-740-5044).

Location: 400 W Moultrie Dr, Blytheville, AR, 72315-8017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306447529
Provider Name
Coty Prentice Martin
Credential
DOCTOROFPHARMACY
Provider Entity Type
Individual
Gender
Male
Address
400 W Moultrie Dr, Blytheville, AR, 72315-8017
Phone Number
870-763-7951
Fax Number
870-763-7958
Provider Enumeration Date
11/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 W Moultrie Dr
City
Blytheville
State
Arkansas
Zip
72315-1716
Phone Number
870-763-7951
Fax Number
870-763-7958
person
Provider Business Mailing Address Details
Address
400 W Moultrie Dr
City
Blytheville
State
Arkansas
Zip
72315-1716
Phone Number
870-763-7951
Fax Number
870-763-7958
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PD15131 (Arkansas)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
PD15131 (Arkansas)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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