NPI 1003418146
Michael Fertig, PHARMD
Practice location
- Address
- 2730 SW Livingston Sq, Bentonville, AR 72713-5022
- Phone
- (214) 578-3685
Registered specialties
Pharmacist
Primary
Registry record
- NPI
- 1003418146
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Nov 2020
- Record last updated
- 13 Nov 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.