Dr. Diedra Dourth is a pharmacist in Fayetteville, Arkansas. Patients can reach her at 2875 W Martin Luther King Blvd, Fayetteville or contact her on 479-521-4350. Active license number of Dr. Diedra Dourth is PD13529 for Pharmacist in Arkansas. Dr. Diedra Dourth is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Dr. Diedra Dourth speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name:
Dr. Diedra Dourth
Specialization:
Pharmacist
Credentials:
PHARMD
Gender:
Female
Location:
2875 W Martin Luther King Blvd, Fayetteville, Arkansas, 72704-7625
Phone:
479-521-4350
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Dr. Diedra Dourth are as mentioned below.
NPI Number:
1588264758
NPI Enumeration Date:
27 Oct, 2020
NPI Last Update On:
27 Oct, 2020
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Diedra Dourth are as mentioned below.
Specialization
License Number
State
Status
Pharmacist
PD13529
Arkansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Diedra Dourth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PD13529
Other
Arkansas
State License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2875 W Martin Luther King Blvd, Fayetteville, Arkansas
Zip:
72704-7625
Phone Number:
479-521-4350
Fax Number:
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Patients can reach Dr. Diedra Dourth at 2875 W Martin Luther King Blvd, Fayetteville, Arkansas or can call on phone at 479-521-4350.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.