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Dr. Diedra Dourth, PHARMD
Pharmacist in Fayetteville, Arkansas
NPI 1588264758

Diedra Dourth is a Pharmacist based in Fayetteville, AR. Diedra Dourth practices in Fayetteville, AR and has the professional credentials of PHARMD. The NPI Number for Diedra Dourth is 1588264758 and holds a License No. PD13529 (Arkansas).

The current practice location address for Diedra Dourth is 2875 W Martin Luther King Blvd, Fayetteville, AR and can be reached out via phone at 479-521-4350.

Location: 2875 W Martin Luther King Blvd, Fayetteville, AR, 72704-7625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588264758
Provider Name
Diedra Dourth
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
2875 W Martin Luther King Blvd, Fayetteville, AR, 72704-7625
Phone Number
479-521-4350
Fax Number
Provider Enumeration Date
10/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PD13529 01 AR STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2875 W Martin Luther King Blvd
City
Fayetteville
State
Arkansas
Zip
72704-7625
Phone Number
479-521-4350
Fax Number
person
Provider Business Mailing Address Details
Address
2875 W Martin Luther King Blvd
City
Fayetteville
State
Arkansas
Zip
72704-7625
Phone Number
479-521-4350
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PD13529 (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.
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