Marla Nutt
Pharmacist in Russellville, AR. Individual provider (NPI-1).
NPI number1013528678
StatusActive
Last updated in NPPESAug 16, 2020
Details
- NPI
- 1013528678
- Entity type
- Individual (NPI-1)
- Name
- Marla Nutt
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2020
- Certification date
- Aug 16, 2020
- Last updated
- Aug 16, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PD14634 | AR | Yes |
Practice location
1100 E Main StRussellville, AR 72801-5319
Phone 479-967-1573
Mailing address
1100 E Main StRussellville, AR 72801-5319
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 41 Pharmacist providers in Russellville · All 1,590 providers in Russellville
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