Provider Demographics
NPI:1154918613
Name:CARMICHAEL, MARGARET (PHARMD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:CARMICHAEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:COFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 N WICKERSHAM ST
Mailing Address - Street 2:
Mailing Address - City:YELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72687
Mailing Address - Country:US
Mailing Address - Phone:870-449-3654
Mailing Address - Fax:870-449-3656
Practice Address - Street 1:200 N WICKERSHAM ST
Practice Address - Street 2:
Practice Address - City:YELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72687
Practice Address - Country:US
Practice Address - Phone:870-449-3654
Practice Address - Fax:870-449-3656
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD14073183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist