Provider Demographics
NPI:1720824857
Name:HUNTER, MARY CATHERINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:CATHERINE
Last Name:HUNTER
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 1:435 HIGHWAY 293
Mailing Address - Street 2:
Mailing Address - City:TILLAR
Mailing Address - State:AR
Mailing Address - Zip Code:71670-9413
Mailing Address - Country:US
Mailing Address - Phone:870-501-2488
Mailing Address - Fax:
Practice Address - Street 1:900 S 3RD ST
Practice Address - Street 2:
Practice Address - City:MC GEHEE
Practice Address - State:AR
Practice Address - Zip Code:71654-2562
Practice Address - Country:US
Practice Address - Phone:870-690-4286
Practice Address - Fax:870-690-4288
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD17041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist