Individual provider · Type 1 NPI

Manuel Gamboa, PharmD

Pharmacist · Pea Ridge, AR

NPI number 1508740317 Active

Practice location

240 Slack St
Pea Ridge, AR 72751-3759

Call (479) 451-9008 Map

Mailing address

7 Yocum Rd
Rogers, AR 72756-9245

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	PD17416 (AR)

Pharmacist: 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…

5 other providers at this address

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About NPI 1508740317

Manuel Gamboa, PharmD's National Provider Identifier is 1508740317, issued on Aug 4, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Pea Ridge, AR. The record was last updated on Aug 4, 2025.