Provider Demographics
NPI:1063819431
Name:PARKHURST, LARA M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LARA
Middle Name:M
Last Name:PARKHURST
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S MAIN ST STE 700
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-7807
Mailing Address - Country:US
Mailing Address - Phone:501-203-2659
Mailing Address - Fax:503-397-9962
Practice Address - Street 1:400 S MAIN ST STE 700
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-7807
Practice Address - Country:US
Practice Address - Phone:501-203-2659
Practice Address - Fax:501-235-3805
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0014470183500000X
IA24391183500000X
MST-100574183500000X
IAP9882183500000X
ARPD15709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist