Provider Demographics
NPI:1588277941
Name:BUCHANAN, MARLEE LOGAN (PHARMD)
Entity type:Individual
Prefix:
First Name:MARLEE
Middle Name:LOGAN
Last Name:BUCHANAN
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 1:4407 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-7253
Mailing Address - Country:US
Mailing Address - Phone:501-525-7296
Mailing Address - Fax:
Practice Address - Street 1:4407 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-7253
Practice Address - Country:US
Practice Address - Phone:501-525-7296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD15365183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist