# DANVILLE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023745775
- **Authorized official:** CLAYTON DICKERSON (PIC)
- **Authorized official phone:** (870) 540-7955

## Contact information

- **Practice address:** 104 E 8TH ST, DANVILLE, AR 72833-8823
- **Practice address phone:** (479) 495-3333
- **Practice address fax:** (479) 495-4318
- **Mailing address:** 104 EAST 8TH STREET, DANVILLE, AR 72833
- **Mailing address phone:** (479) 495-3333
- **Mailing address fax:** (479) 495-4318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/03/2022
- **Last updated:** 11/23/2022