Provider Demographics
NPI:1013347459
Name:DENTON, LAUREN BROOKE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:BROOKE
Last Name:DENTON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 MOUNTAIN EDGE
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-9058
Mailing Address - Country:US
Mailing Address - Phone:870-678-3004
Mailing Address - Fax:479-262-6973
Practice Address - Street 1:615 N PLAZA CT
Practice Address - Street 2:SUITE A
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-2600
Practice Address - Country:US
Practice Address - Phone:479-262-6969
Practice Address - Fax:479-262-6973
Is Sole Proprietor?:No
Enumeration Date:2013-11-21
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD12060183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist