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Contact Information

CLINIC DRUG STORE, INC
1700 HARRISON ST STE D
BATESVILLE, AR72501
 Phone: 870-793-5170
 Fax: 870-793-4996
 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 CLINIC DRUG STORE, INC

NPI # 1700947272
LBN Legal business name CLINIC DRUG STORE, INC
Authorized official PHILIP BAKER - (OWNER PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
AR License # 0416467
AR Other 0416467 NCPDP
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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