Mrs Mary Carole M Polk, RPH | |
333 Madison Street, Clarendon, AR 72029 | |
(870) 747-3304 | |
Not Available |
Full Name | Mrs Mary Carole M Polk |
---|---|
Gender | Female |
Speciality | Pharmacist |
Location | 333 Madison Street, Clarendon, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770685083 | NPI | - | NPPES |
281107-48-001 | Other | AR | SALES AND USE TAX NUMBER |
1291951 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 7925 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Carole M Polk, RPH 333 Madison Street, Clarendon, AR 72029 Ph: (870) 747-3304 | Mrs Mary Carole M Polk, RPH 333 Madison Street, Clarendon, AR 72029 Ph: (870) 747-3304 |
Marco Renell Middleton Sr., Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 333 Madison St, 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 |