Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coty Prentice Martin, DOCTOROFPHARMACY

Individual provider Pharmacist · NPI 1306447529

Coty Prentice Martin, DOCTOROFPHARMACY is a Pharmacist in Blytheville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2020
Specialties on file
2

Practice location Address checks out

400 W Moultrie Dr
Blytheville, AR 72315-1716
Phone: (870) 763-7951
Fax: (870) 763-7958
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PD15131 (AR)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence PD15131 (AR)

Record details

NPI number1306447529
Entity typeIndividual (Type 1)
GenderMale
Credentials DOCTOROFPHARMACY
Sole proprietorYes
NPI enumeratedNovember 4, 2020
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021

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