Individual provider · Type 1 NPI

Diedra Dourth, PharmD

Pharmacist · Fayetteville, AR

NPI number 1588264758 Active

Practice location

2875 W Martin Luther King Blvd
Fayetteville, AR 72704-7625

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPD13529 (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…

3 other providers at this address

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About NPI 1588264758

Diedra Dourth, PharmD's National Provider Identifier is 1588264758, issued on Oct 27, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fayetteville, AR. The record was last updated on Oct 27, 2020.