Provider Demographics
NPI:1447020532
Name:PRESSGROVE, KAYLA RENEE (PHARMD)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:RENEE
Last Name:PRESSGROVE
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 1:5015 HIGHWAY 62 E
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-9157
Mailing Address - Country:US
Mailing Address - Phone:870-365-0586
Mailing Address - Fax:
Practice Address - Street 1:5015 HIGHWAY 62 E
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-9157
Practice Address - Country:US
Practice Address - Phone:870-365-0586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD110921835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist