IndividualActive
Marc Anderson
NPI 1154969707 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Conway, AR
Provider details
- NPI number
- 1154969707
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AR08157 (AR)
Mailing address
855 Salem Rd
Conway, AR 72034-4820
Registry dates
- Enumerated
- 2019-12-13
- Last updated
- 2020-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.