Coty Prentice Martin, DOCTOR OF PHARMACY - Pharmacist in Blytheville, AR

Coty Prentice Martin, DOCTOR OF PHARMACY is a Pharmacist based in Blytheville, Arkansas. Coty Prentice Martin is licensed to practice in Arkansas (license number PD15131) and his current practice location is 400 W Moultrie Dr, Blytheville, Arkansas. He can be reached at his office (for appointments etc.) via phone at (870) 763-7951.

NPI number for Coty Prentice Martin is 1306447529 and his current mailing address is 610 S Ridgeway Dr, Blytheville, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306447529.

Contact Information

Coty Prentice Martin, DOCTOR OF PHARMACY
400 W Moultrie Dr,
Blytheville, AR 72315-1716
(870) 763-7951
(870) 763-7958

Healthcare Provider's Profile

Full NameCoty Prentice Martin
GenderMale
SpecialityPharmacist
Location400 W Moultrie Dr, Blytheville, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306447529
  • Provider Enumeration Date: 11/04/2020
  • Last Update Date: 11/05/2021

Medical Identifiers

Medical identifiers for Coty Prentice Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306447529NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist PD15131 (Arkansas)Primary
1835P0018XPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist PD15131 (Arkansas)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Coty Prentice Martin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Coty Prentice Martin, DOCTOR OF PHARMACY
610 S Ridgeway Dr,
Blytheville, AR 72315-8017

Ph: (870) 740-5044
Coty Prentice Martin, DOCTOR OF PHARMACY
400 W Moultrie Dr,
Blytheville, AR 72315-1716

Ph: (870) 763-7951

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› Verified 3 days ago


Pharmacist in Blytheville, AR

Stanley Wilson Crisler,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 3700 E State Highway 18, Blytheville, AR 72315
Phone: 870-763-1013    Fax: 870-763-4963
Floyd Steven White,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 3700 E Main St, Blytheville, AR 72315
Phone: 870-763-1013    
Dr. Cherri Muldrew, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 400 W Moultrie Dr, Blytheville, AR 72315
Phone: 870-763-7951    Fax: 870-763-7958
Dr. Robert Austin Blue, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 400 W Moultrie Dr, Blytheville, AR 72315
Phone: 870-763-7951    
Danesha Williams,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 400 W Moultrie Dr, Blytheville, AR 72315
Phone: 870-763-7958    Fax: 870-763-7958
Dr. Edwin K Muldrew, PHARM.D
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 3700 E Hwy 18, Blytheville, AR 72315
Phone: 870-763-1013    

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