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Contact Information

MITCHELL'S MAIN STREET PHARMACY, INC
214 EAST MAIN ST
MOUNTAIN VIEW, AR72560
 Phone: 870-269-3253
 Fax: 870-269-5120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MITCHELL'S MAIN STREET PHARMACY, INC

NPI # 1447503941
LBN Legal business name MITCHELL'S MAIN STREET PHARMACY, INC
Authorized official EDDIE MITCHELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2012
Last updated 03/04/2013 - About 13 years ago
Identifiers
AR License # AR14641
Other 0424111 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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