Provider Demographics
NPI:1083218853
Name:HARPOLE, CASEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:HARPOLE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:
Other - Last Name:WROTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:916 W MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-9683
Mailing Address - Country:US
Mailing Address - Phone:479-751-3764
Mailing Address - Fax:
Practice Address - Street 1:916 W MONROE AVE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:AR
Practice Address - Zip Code:72745-9683
Practice Address - Country:US
Practice Address - Phone:479-751-3764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD15432183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist