Provider Demographics
NPI:1588069025
Name:LAWSON, COURTNEY JADE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:JADE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 COUNTY ROAD 391
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-7718
Mailing Address - Country:US
Mailing Address - Phone:870-759-0881
Mailing Address - Fax:
Practice Address - Street 1:1109 W PARKER RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404-9583
Practice Address - Country:US
Practice Address - Phone:870-935-6400
Practice Address - Fax:870-935-4027
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD12724183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist