Bobby Dodd

Pharmacist · De Queen, AR

Individual Active NPI

NPI number 1154603314

Practice location

808 W Collin Raye Dr
De Queen, AR 71832-2022
Phone
(870) 642-8021
Fax
(870) 642-8357

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NPI record

NPI
1154603314
Entity type
Individual (Type 1)
Enumeration date
September 14, 2011
Last updated
September 14, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PD06130 AR

Mailing address

4502 Suzanne Ave
Texarkana, TX 75503-0403
Phone
(903) 832-9989
Fax
(870) 642-8357

About Bobby Dodd

Bobby Dodd is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 808 W Collin Raye Dr, De Queen, AR 71832-2022. The NPI number 1154603314 was assigned on September 14, 2011 and the record was last updated on September 14, 2011.

Bobby Dodd lists a license in the registry: #PD06130 (AR) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bobby Dodd?

The NPI number is 1154603314.

What is the phone number of Bobby Dodd?

The phone number listed for the practice location is (870) 642-8021.

Where is Bobby Dodd located?

808 W Collin Raye Dr, De Queen, AR 71832-2022.

What is the taxonomy code for Bobby Dodd?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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