NPI | 1740371475 |
---|---|
Former Legal Business Name | CITY DRUG |
Entity Type | Organization |
Authorized Contact | KHALIL LYNN CROUSE Owner/Pharm D 870-265-2220 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR11936) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR AR11936) |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-09-27 |
Last Update Date | 2023-06-08 |