Provider Demographics
NPI:1689399040
Name:UNDERWOOD, NATALIE DENISE (PHARM D)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:DENISE
Last Name:UNDERWOOD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:DENISE
Other - Last Name:MCDOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:3203 CASH CV
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-7580
Mailing Address - Country:US
Mailing Address - Phone:870-240-5011
Mailing Address - Fax:
Practice Address - Street 1:3104 W KINGSHIGHWAY
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-2612
Practice Address - Country:US
Practice Address - Phone:870-240-5011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD12280183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist