Provider Demographics
NPI:1114793437
Name:MCALLISTER, DANIEL JACK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JACK
Last Name:MCALLISTER
Suffix:
Gender:M
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:MERCY PHARMACY FT. SMITH
Mailing Address - Street 2:7301 ROGERS AVE
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903
Mailing Address - Country:US
Mailing Address - Phone:479-314-6142
Mailing Address - Fax:479-314-6153
Practice Address - Street 1:MERCY PHARMACY FT. SMITH
Practice Address - Street 2:7301 ROGERS AVE
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903
Practice Address - Country:US
Practice Address - Phone:479-314-6142
Practice Address - Fax:479-314-6513
Is Sole Proprietor?:No
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK16717183500000X
ARPD14918183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist