Keller, Courtney

Keller, Courtney is an individual health care provider with primary practice located at 300 S School St , Dermott AR 71638-2127. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Keller, Courtney can be contacted via phone (870) 538-5414.

Contact Information

Primary practice address
300 S School St Dermott AR 71638-2127
Phone: (870) 538-5414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X PD15085 Arkansas
Pharmacy Service Providers / Pharmacist 183500000X PD15085 Arkansas

Profile Details

NPI number 1619572195
LBN Legal business name Keller, Courtney
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2020
Last updated Dec 2nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619572195 NPPES
Arkansas Other PD15085 PHARMACIST LICENSE

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