IndividualActive
Clarice Montgomery, PHARMD
NPI 1255836037 · Pharmacotherapy Pharmacist · Fayetteville, AR
Provider details
- NPI number
- 1255836037
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- PD14202 (AR)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1100 N College Ave
Fayetteville, AR 72703-1944
Phone: (479) 443-4301
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2429
Smyrna, TN 37167-1719
Registry dates
- Enumerated
- 2018-03-26
- Last updated
- 2021-05-26
- Certified
- 2021-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.