Provider Demographics
NPI:1073022398
Name:SIMPSON-FRENCH, LAURA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SIMPSON-FRENCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2406 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:CAVE CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72521-9452
Mailing Address - Country:US
Mailing Address - Phone:870-307-5462
Mailing Address - Fax:
Practice Address - Street 1:3150 HARRISON ST
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7515
Practice Address - Country:US
Practice Address - Phone:870-793-4464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-29
Last Update Date:2017-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD14196183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist