Provider Demographics
NPI:1578150520
Name:LOVRIEN, MARY ANN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ANN
Last Name:LOVRIEN
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 1:403 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RECTOR
Mailing Address - State:AR
Mailing Address - Zip Code:72461-1706
Mailing Address - Country:US
Mailing Address - Phone:870-595-3523
Mailing Address - Fax:870-595-3524
Practice Address - Street 1:403 S MAIN ST
Practice Address - Street 2:
Practice Address - City:RECTOR
Practice Address - State:AR
Practice Address - Zip Code:72461-1706
Practice Address - Country:US
Practice Address - Phone:870-595-3523
Practice Address - Fax:870-595-3524
Is Sole Proprietor?:No
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD08604183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist