Provider Demographics
NPI:1356670814
Name:CRAVENS, CALHOUN ANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CALHOUN
Middle Name:ANNE
Last Name:CRAVENS
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 1:908 NE CARNAHAN CT
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-8585
Mailing Address - Country:US
Mailing Address - Phone:479-899-7875
Mailing Address - Fax:479-246-0203
Practice Address - Street 1:1722 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-3324
Practice Address - Country:US
Practice Address - Phone:479-246-0196
Practice Address - Fax:479-246-0203
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-12
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR-15649183500000X
ARPD108133336C0003X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy