Provider Demographics
NPI:1720361892
Name:BELL, CLINT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CLINT
Middle Name:
Last Name:BELL
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 1:5395 W ASH ST
Mailing Address - Street 2:STE 9
Mailing Address - City:POTTSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72858-9170
Mailing Address - Country:US
Mailing Address - Phone:479-498-4130
Mailing Address - Fax:479-498-4133
Practice Address - Street 1:5395 W ASH ST
Practice Address - Street 2:STE 9
Practice Address - City:POTTSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72858-9170
Practice Address - Country:US
Practice Address - Phone:479-498-4130
Practice Address - Fax:479-498-4133
Is Sole Proprietor?:No
Enumeration Date:2011-09-24
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD10310183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist