Most Relevant Information
Provider Data
| NPI Number: | 1003418146 |
| Provider Name: | MICHAEL FERTIG PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 47262 |
Most Important Dates
| Enumeration Date: | 11/13/2020 |
| Last Updated: | 11/13/2020 |
Provider Practice Location
2730 SW LIVINGSTON SQ
BENTONVILLE
AR
727135022
Practice Location Phone/Fax
| Phone: | 2145783685 |
| Fax: |
Provider Mailing Location
2730 SW LIVINGSTON SQ
BENTONVILLE
AR
727135022
Provider Mailing Phone/Fax
| Phone: | 2145783685 |
| Fax: |