| Marco Renell Middleton Sr, | |
|
333 Madison St, Clarendon, AR 72029-2717 | |
| (870) 747-3304 | |
| Not Available |
| Full Name | Marco Renell Middleton Sr |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 333 Madison St, Clarendon, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770161911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | PD15022 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marco Renell Middleton Sr, 249 Carla Dr, Clarendon, AR 72029-2503 Ph: () - | Marco Renell Middleton Sr, 333 Madison St, Clarendon, AR 72029-2717 Ph: (870) 747-3304 |
Mrs. Mary Carole M Polk, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 333 Madison Street, Clarendon, AR 72029 Phone: 870-747-3304 | |
Mrs. Leah K Williamson, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 333 Madison, Clarendon, AR 72029 Phone: 870-747-3304 Fax: 870-747-5324 |