Provider Demographics
NPI:1891384467
Name:SMITH, ARETHA CHEYENNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ARETHA
Middle Name:CHEYENNE
Last Name:SMITH
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 1:100 KEARBY LN
Mailing Address - Street 2:
Mailing Address - City:POCAHONTAS
Mailing Address - State:AR
Mailing Address - Zip Code:72455-8995
Mailing Address - Country:US
Mailing Address - Phone:870-202-3491
Mailing Address - Fax:870-892-4091
Practice Address - Street 1:606 S PARK ST
Practice Address - Street 2:
Practice Address - City:POCAHONTAS
Practice Address - State:AR
Practice Address - Zip Code:72455-3132
Practice Address - Country:US
Practice Address - Phone:870-892-5517
Practice Address - Fax:870-892-4091
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD08887183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist