NPI 1063786986

Kaci Leigh Green, PHARMD

Practitioner Pharmacist Clarksville, AR

Practice location

Address: 510 S Rogers St, Clarksville, AR 72830-3746
Phone: (479) 647-3138

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PD11399 (AR)

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Registry record

NPI: 1063786986
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Feb 2012
Record last updated: 24 Feb 2012

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.