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Contact Information

CITY DRUG STORE
101 103 HWY 67 N
TUCKERMAN, AR72473
 Phone: 870-349-5161
 Fax: 870-349-2863
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CITY DRUG STORE

NPI Number 1366550626
LBN Legal business name CITY DRUG STORE
Authorized official OSCAR CLAYTON - (OWNER PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
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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